Organization
BONHAM CLINIC PA
Active
Other names
Bonham Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GREGORY BONHAM JR. DC (CHIROPRACTOR PRESIDENT)
(803) 791-3900
Entity
Organization
Contact information
Practice address
1525 B SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 791-3900
(803) 791-7899
Mailing address
1525 B SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 791-3900
(803) 791-7899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0807
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH145
—
SC
Enumeration date
11/06/2006
Last updated
08/22/2020
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