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Individual

DR. MARK A BONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(919) 609-6350
Mailing address
PO BOX 1070, CHARLOTTE, NC 28201-1070
(800) 476-8646
(919) 382-3210

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1250N
BCBS OF NC GROUP # 015CK
NC
05
891250N
NC
01
D1490
MEDCOST PROVIDER #
NC
Enumeration date
07/19/2005
Last updated
07/09/2007
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