DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WILLIAM PINCKNEY BONNER M.D.

MEDICARE:   WILLIAM PINCKNEY BONNER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician7432SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3080138719OTHERSCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1576007863147OTHERSCBLUE CHOICE
2576007863187OTHERSCBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639392988
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM PINCKNEY BONNER M.D.
Provider Business Mailing Address
First Line : ONE INDEPENDENCE POINTE
Second Line : SUITE 212
City : GREENVILLE
State : SC
Zip : 29615-4566
Country : US
Telephone Number : 864-797-6044
Fax Number : 864-797-6198
Provider Business Practice Location Address
First Line : 255 ENTERPRISE BLVD STE 101
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3530
Country : US
Telephone Number : 864-454-8120
Fax Number : 864-454-8125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 06/08/2011

Similar Medicare Providers

1447938378 — GINGER ANN JOHNSON NP
Practice Location Address:
255 ENTERPRISE BLVD STE 101
GREENVILLE, SC
29615-3530
Practice Phone: 864-455-8120
Practice Fax:
1952369381 — NATE JOHN NORMAND M.D.
Practice Location Address:
255 ENTERPRISE BLVD STE 101
GREENVILLE, SC
29615-3530
Practice Phone: 864-454-8120
Practice Fax: 864-454-8125
1821013558 — CHAD EVERETT FRIEL D.O.
Practice Location Address:
255 ENTERPRISE BLVD STE 101
GREENVILLE, SC
29615-3530
Practice Phone: 864-454-8120
Practice Fax: 864-454-8125
1801048202 — MELISSA JEAN BAILEY D.O.
Practice Location Address:
255 ENTERPRISE BLVD STE 101
GREENVILLE, SC
29615-3530
Practice Phone: 864-454-8120
Practice Fax: 864-454-8125
1407090053 — ANGELA HEBERT HAYDEN APN-BC
Practice Location Address:
255 ENTERPRISE BLVD STE 101
GREENVILLE, SC
29615-3530
Practice Phone: 864-454-8120
Practice Fax: 864-454-8125
1043448509 — BETTY JANE LACKEY D.O.
Practice Location Address:
255 ENTERPRISE BLVD STE 101
GREENVILLE, SC
29615-3530
Practice Phone: 864-454-8120
Practice Fax: 864-454-8125

Directions to “ WILLIAM PINCKNEY BONNER M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.