Dr DEAXTRA D BONHAM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017 from University Of South Alabama College Of Medicine.
GATEWAY COMMUNITY HEALTH CENTERS, INC.
201 E EHRINGHAUS ST
ELIZABETH CITY
NC
279094941
Tel: 2523331047
| Npi | 1487100566 |
| Pac Id | 8426323015 |
| Professional Enrollment Id | I20171007000093 |
| Last Name | BONHAM |
| First Name | DEAXTRA |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | GATEWAY COMMUNITY HEALTH CENTERS, INC. |
| Group Practice Pac Id | 9234356015 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 201 E EHRINGHAUS ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 279094941 |
| Phone Number | 2523331047 |
| Hospital Affiliation Ccn 1 | 340109 |
| Hospital Affiliation Lbn 1 | SENTARA ALBEMARLE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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