Individual
DR. IRVIN R BONNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
(704) 862-6194
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
(704) 862-6194
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
19045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19045
LISCENCE #
NC
05
—
8916437
—
NC
Enumeration date
09/15/2006
Last updated
02/10/2011
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