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Dr. Jonathan D Bornfreund, D.O.

Family Medicine in Myrtle Beach, SC. Individual provider (NPI-1).

NPI number1689634289
StatusActive
Last updated in NPPESSep 9, 2008

Details

NPI
1689634289
Entity type
Individual (NPI-1)
Name
Dr. Jonathan D Bornfreund
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2006
Last updated
Sep 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0708SCYes

Practice location

106 Lansford Ct.
Suite 100
Myrtle Beach, SC 29588

Phone 843-293-8850 · Fax 843-293-8860

Mailing address

106 Lansford Ct.
Suite 100
Myrtle Beach, SC 29588

Phone 843-293-8850 · Fax 843-293-8860

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