Individual
DR. MARK EARL BOMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
719 OKATIE HWY # 170, OKATIE, SC 29909-3963
(843) 987-7400
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02003096A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
36489
SC
Other
Enumeration date
11/08/2006
Last updated
03/31/2025
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