Individual
MARK G BONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7111
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
073327
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1395
—
SC
01
—
P00370102
RAILROAD MEDICARE
SC
Enumeration date
08/31/2006
Last updated
11/03/2017
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