Mark W Bonner is a Dermatology Physician based in Dublin, GA. Mark W Bonner practices in Macon, GA and has the professional credentials of MD. The NPI Number for Mark W Bonner is 1811961600 and holds a License No. 057047 (Georgia).
The current practice location address for Mark W Bonner is 1157 Forsyth St, Macon, GA and can be reached out via phone at 478-745-8581 and via fax at 478-328-0438.
Location: 1157 Forsyth St, Macon, GA, 31021-2890
Provider Profile Details
NPI Number
1811961600
Provider Name
Mark W Bonner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1157 Forsyth St, Macon, GA, 31021-2890
Phone Number
478-745-8581
Fax Number
478-328-0438
Provider Enumeration Date
02/16/2006
Last Update Date
05/18/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413577315A | 05 | GA | |
| DC4061 | 01 | GA | RAILROAD MEDICARE |
| P00258031 | 01 | GA | RAILROAD MEDICARE |
Provider Business Practice Location Address Details
Address
1157 Forsyth St
City
State
Zip
31201
Phone Number
478-745-8581
Fax Number
478-328-0438
Provider Business Mailing Address Details
Address
1157 Forsyth St
City
State
Zip
31201
Phone Number
478-745-8581
Fax Number
478-328-0438
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
057047 (Georgia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
License No.
057047 (Georgia)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
License No.
057047 (Georgia)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Dermatopathology
Taxonomy
License No.
057047 (Georgia)
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Clinical & Laboratory Dermatological Immunology
Taxonomy
License No.
057047 (Georgia)
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Pediatric Dermatology
Taxonomy
License No.
057047 (Georgia)
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
License No.
057047 (Georgia)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
057047 (Georgia)
Definition
Definition to come...
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