Gena Bonitatibus
Medical Specialty
Professional ID
- NPI: 1184621310
- PECOS ID: 0547152910
- Enrollment ID: I20060125000503
- Credential(MD, DO, DPM): MD
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 1996
Hospital Service
- Hospital CCN1: 110028
- Business Name (LBN)1: University Hospital
Medical Practices
- Organization Name: Augusta Allergy And Asthma, Llc
- Group Practice ID assigned by PECOS: 6709045388
- Number of Group Practice member: 3
Location
- Address1: 4350 Towne Ctr Dr
- Address2: Suite 1500
- City: Evans
- State: Georgia
- Zip Code: 30809
- Phone Number: (706)863-1440
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):