Carrie Bonner, CO
Specialist in Winston Salem, NC. Individual provider (NPI-1).
NPI number1669898219
StatusActive
Last updated in NPPESMar 6, 2014
Details
- NPI
- 1669898219
- Entity type
- Individual (NPI-1)
- Name
- Carrie Bonner
- Credential
- CO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2014
- Last updated
- Mar 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | CO 003331 | OH | Yes |
Practice location
1728 S Hawthorne RdWinston Salem, NC 27103-4016
Phone 336-768-3666
Mailing address
1728 S Hawthorne RdWinston Salem, NC 27103-4016
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