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Individual

ARTHUR LUTHER BONNETT IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
119 AMICKS FERRY RD, CHAPIN, SC 29036
(803) 932-2200
(803) 932-2225
Mailing address
119 AMICKS FERRY RD, CHAPIN, SC 29036
(803) 932-2200
(803) 932-2225

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23872
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238727
SC
Enumeration date
03/31/2006
Last updated
12/28/2011
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