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Individual

MR. JAMES W. BONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169
(800) 491-0909
Mailing address
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169
(800) 491-0909

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2535
SC
363AS0400X
Surgical Physician Assistant
2535
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
285PA
SC
Enumeration date
04/05/2016
Last updated
09/02/2021
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