Individual
WILLIAM PINCKNEY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 ENTERPRISE BLVD STE 101, GREENVILLE, SC 29615-3530
(864) 454-8120
(864) 454-8125
Mailing address
ONE INDEPENDENCE POINTE, SUITE 212, GREENVILLE, SC 29615-4566
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7432
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074323
—
SC
01
—
080138719
RR MEDICARE
SC
01
—
576007863147
BLUE CHOICE
SC
01
—
576007863187
BCBS
SC
Enumeration date
04/11/2007
Last updated
06/08/2011
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