Male or Other

Dr. Steven R. Bomeli M.D.

Otolaryngology Physician in Atlanta, GA(View on Map)

Full Name

Dr. Steven Richard Bomeli M.D.

NPI Number

1639372147

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/11/2007

Specialties

(Taxonomies)

Code

207Y00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

071097

Contact
Information

Purpose

Mailing
Location

Address

960 JOHNSON FY RD NE
960 JOHNSON FY RD NE

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30342-1631
30342-1631

Country

US
US

Telephone Number

(404) 943-0900
(404) 943-0900

Identifiers

Identifier

P01027663
5917792
1629781
071097
164XK
30099942
9219664
NC1403

Identifier State

Unknown
NC
NC
GA
NC
SC
NC
SC

Identifier Issuer

MEDICARE RAILROAD
Unknown
CIGNA
GA LICENSE
BCBSNC
SELECT HEALTH OF SC
AETNA
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/10/2015

Provider Address

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