Individual
JEREMY BONKOWSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 E PARKER RD, MORGANTON, NC 28655-5112
(828) 433-1000
(828) 430-3465
Mailing address
335 E PARKER RD, MORGANTON, NC 28655-5112
(828) 433-1000
(828) 430-3465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T2006015660
MO
207W00000X
Ophthalmology Physician
Primary
2011-00214
NC
Other
Enumeration date
09/02/2006
Last updated
05/12/2011
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