Individual
MR. JEFFREY TODD BONITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 274-6000
(828) 274-6025
Mailing address
PO BOX 602381, CHARLOTTE, NC 28260-2381
(828) 274-6000
(828) 274-6025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02172
NC
Other
Enumeration date
05/13/2010
Last updated
02/08/2022
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