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Individual

JONY M BOLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
108 HIGHWAY 28 BYP, ANDERSON, SC 29624-3742
(864) 523-8901
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 447-7120
(407) 770-0661

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18749
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187498
SC
01
582296052-528
BLUE CROSS
SC
Enumeration date
05/16/2006
Last updated
02/01/2022
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