Dr AYMEN BUKANNAN is a male medical professional, specializing in Gastroenterology. He graduated in 2010.
ARCHBOLD MEDICAL GROUP, INC.
112 MIMOSA DR
THOMASVILLE
GA
317926605
Tel: 2292270045
| Npi | 1700179983 |
| Pac Id | 3779700091 |
| Professional Enrollment Id | I20170918002329 |
| Last Name | BUKANNAN |
| First Name | AYMEN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | |
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| Organization Legal Name | ARCHBOLD MEDICAL GROUP, INC. |
| Group Practice Pac Id | 8123196383 |
| Number Of Group Practice Members | 56 |
| Line 1 Street Address | 112 MIMOSA DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 317926605 |
| Phone Number | 2292270045 |
| Hospital Affiliation Ccn 1 | 110038 |
| Hospital Affiliation Lbn 1 | JOHN D ARCHBOLD MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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