Individual
DR. BONITA CHERICE MILES MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
410 HERLONG AVE S STE 103, ROCK HILL, SC 29732-8350
(803) 985-3937
(803) 985-3922
Mailing address
410 HERLONG AVE S STE 103, ROCK HILL, SC 29732-8350
(803) 985-3937
(803) 985-3922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1744
SC
152W00000X
Optometrist
MD1269
MD
Other
Enumeration date
05/01/2007
Last updated
05/15/2021
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