Individual
MS. BONNA DANIELS MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2514 S. CROATAN HIGHWAY, NAGS HEAD, NC 27959-1685
(252) 441-9400
(252) 441-3366
Mailing address
2514 S. CROATAN HIGHWAY, NAGS HEAD, NC 27959-1685
(252) 441-9400
(252) 441-3366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001943
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12761
BC/BS
NC
05
—
6003406
—
NC
Enumeration date
09/25/2006
Last updated
07/08/2007
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