Provider Demographics
NPI:1356410112
Name:BOHNSTENGEL, SANDRA KAY (MD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:KAY
Last Name:BOHNSTENGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:340 EISENHOWER DR
Mailing Address - Street 2:STE.610
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-1600
Mailing Address - Country:US
Mailing Address - Phone:912-354-4044
Mailing Address - Fax:912-354-4009
Practice Address - Street 1:340 EISENHOWER DRIVE
Practice Address - Street 2:STE.610
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-5828
Practice Address - Country:US
Practice Address - Phone:912-354-4044
Practice Address - Fax:912-354-4009
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA038692207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1356410112OtherFAMILY MEDICINE
GAF40341Medicare UPIN
GA08BBXNFMedicare ID - Type Unspecified