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Aymen Bukannan, MD — NPI 1700179983, Thomasville, GA | NPI Central

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NPI 1700179983

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Aymen Bukannan, MD

NPI 1700179983 · Gastroenterology Physician · Thomasville, GA

Provider details

NPI number: 1700179983
Entity type: Individual
Primary specialty: Gastroenterology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 077096 (GA)

Specialties & taxonomies

Gastroenterology PhysicianPrimary207RG0100XLicense 077096 (GA)
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000XLicense 4301098214 (MI)
Allopathic & Osteopathic Physicians
Gastroenterology Physician207RG0100XLicense 036177436 (IL)
Allopathic & Osteopathic Physicians

Practice location

112 Mimosa Dr

Thomasville, GA 31792-6605

Phone: (229) 227-0045

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

900 Cairo Rd

Thomasville, GA 31792-4255

Additional practice locations (2)

4500 Memorial Dr Ste 300
Belleville, IL 62226-5360
Phone: (618) 257-6220
Fax: (618) 257-6679
2799 W. Grand Blvd, K7 Room E-744
Henry Ford Hospital Gi Department
Detroit, MI 48202
Phone: (313) 916-2405
Fax: (313) 916-6413

Registry dates

Enumerated: 2011-05-23
Last updated: 2025-11-17
Certified: 2025-11-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.