OrganizationActive
Bonserva Acute Primary Care Center
NPI 1295966216 · Primary Care Clinic/Center · Forest Park, GA
Provider details
- NPI number
- 1295966216
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Camille Cook, Family Nurse Practitioner(404) 366-8111
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4940 Governors Dr Ste 209
Forest Park, GA 30297-2186
Phone: (404) 366-8111
Fax: (404) 366-8102
Approximate (ZIP-level) locationGet directions
Mailing address
4940 Governors Dr Ste 209
Forest Park, GA 30297-2186
Registry dates
- Enumerated
- 2009-08-07
- Last updated
- 2009-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.