Provider Demographics
NPI:1952533747
Name:REED, BONNELL SUE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BONNELL
Middle Name:SUE
Last Name:REED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 HAMMOND DR NE
Mailing Address - Street 2:BUILDING 19 STE 300
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5532
Mailing Address - Country:US
Mailing Address - Phone:404-257-0363
Mailing Address - Fax:404-257-0338
Practice Address - Street 1:750 HAMMOND DR NE
Practice Address - Street 2:BUILDING 19 STE 300
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-5532
Practice Address - Country:US
Practice Address - Phone:404-257-0363
Practice Address - Fax:404-257-0338
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN073440163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical