Individual
JAMES JOHN BOMBENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 487-3131
(919) 477-5474
Mailing address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 487-3131
(919) 477-5474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16518
BLUE CROSS
NC
05
—
8916518
—
NC
Enumeration date
03/22/2006
Last updated
12/11/2007
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