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Individual

ADOLPHUS SOLOMON BONAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2544 COURT DR, SUITE A, GASTONIA, NC 28054-3450
(704) 671-6400
(704) 671-6449
Mailing address
2544 COURT DR, SUITE A, GASTONIA, NC 28054-3450
(704) 671-6400
(704) 671-6449

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
200401176
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89138FH
NC
05
N01176
SC
01
P00334281
RAILROAD MEDICARE
NC
Enumeration date
09/27/2005
Last updated
09/10/2010
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