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Individual
DR. MARK A BONEY
Active
Individual
DR. MARK A BONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250N
BCBS OF NC GROUP # 015CK
NC
05
—
891250N
—
NC
01
—
D1490
MEDCOST PROVIDER #
NC
Enumeration date
07/19/2005
Last updated
07/09/2007
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