Marie Rose Bonabon in Mauldin - Pediatrics
Marie Rose Bonabon - NPI 1093775397
Marie Rose Bonabon is a Pediatrics in Mauldin, South Carolina. Marie Rose Bonabon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marie Rose Bonabon is 1093775397. The last update date is 2007-07-08.
Marie Rose Bonabon's current location address is 309 W Butler Rd, Mauldin, South Carolina. You can contact this provider via phone number 8642971575 and fax number 8642840844. The mailing address for Marie Rose Bonabon is 309 W Butler Rd, Mauldin, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie Rose Bonabon |
|---|---|
| Address | 309 W Butler Rd, Mauldin, South Carolina |
| Phone Number | 8642971575 |
| Fax Number | 8642840844 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093775397 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 309 W Butler Rd |
|---|---|
| City | Mauldin |
| State | South Carolina (SC) |
| Post Code | 296622531 |
| Phone Number | 8642971575 |
| Fax Number | 8642840844 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 23996 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 239969 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Marie Rose Bonabon by the Centers for Medicare & Medicaid Services?
The Marie Rose Bonabon has been assigned the NPI (National Provider Identifier) 1093775397 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Marie Rose Bonabon?
The Marie Rose Bonabon is situated at 309 W Butler Rd, in the city of Mauldin, state of SC, with the zip code 296622531.
What is the area of specialization for Marie Rose Bonabon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marie Rose Bonabon is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Marie Rose Bonabon receive the assignment of its 1093775397 from the Centers for Medicare & Medicaid Services?
The Marie Rose Bonabon was issued its 1093775397 by the Centers for Medicare & Medicaid Services on 2006-03-23.
As of what date were the Marie Rose Bonabon's details last updated?
The information pertaining to the Marie Rose Bonabon, including its address, specialty, and other details, was most recently updated on 2007-07-08.