IndividualActive
Anthony Bonfiglio, M.D.
NPI 1821170465 · Child & Adolescent Psychiatry Physician · Fort Moore, GA
Provider details
- NPI number
- 1821170465
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD-14870 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-0429
Fax: (762) 408-2719
Approximate (ZIP-level) locationGet directions
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.