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Organization
BONHAM CLINIC PA
Active
Organization
BONHAM CLINIC PA
Active
Other names
Bonham Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GREGORY BONHAM JR. DC (CHIROPRACTOR PRESIDENT)
(803) 791-3900
Entity
Organization
Contact information
Practice address
1525 B SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 791-3900
(803) 791-7899
Mailing address
1525 B SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 791-3900
(803) 791-7899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0807
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH145
—
SC
Enumeration date
11/06/2006
Last updated
08/22/2020
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