Individual
MR. JEFFREY BODENHAMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
1809 JOHNSTONE ST, NEWBERRY, SC 29108-3957
(803) 276-4493
Mailing address
1809 JOHNSTONE ST, NEWBERRY, SC 29108-3957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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