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Individual
WILLIAM PINCKNEY BONNER
Active
Individual
WILLIAM PINCKNEY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7432
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074323
—
SC
01
—
080138719
RR MEDICARE
SC
01
—
576007863147
BLUE CHOICE
SC
01
—
576007863187
BCBS
SC
Enumeration date
04/11/2007
Last updated
06/08/2011
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