Individual
SHIRLEY BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E WOOD ST, SPARTANBURG, SC 29303-3016
(864) 596-2227
(864) 596-3902
Mailing address
415 E CALHOUN CROSSING CT, SPARTANBURG, SC 29307-3156
(864) 596-2227
(864) 596-3302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
31383
SC
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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