Individual
DR. PETER C BONDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 FARRAR DR, CONWAY, SC 29526-8747
(843) 347-7300
(843) 347-8459
Mailing address
PO BOX 2180, CONWAY, SC 29528-2180
(843) 347-7300
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
32375
MN
207YS0123X
Facial Plastic Surgery Physician
Primary
33079
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330797
—
SC
05
—
GP4505
—
SC
Enumeration date
01/25/2006
Last updated
10/06/2016
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