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Mrs. Bonnie Brown West, PA-C
Medical Physician Assistant in Spartanburg, South Carolina
NPI 1780646000

Bonnie Brown West is a Medical Physician Assistant based in Roebuck, SC and is specialized in Medical. Bonnie Brown West practices in Spartanburg, SC and has the professional credentials of PA-C. The NPI Number for Bonnie Brown West is 1780646000 and holds a License No. A403 (South Carolina).

The current practice location address for Bonnie Brown West is 101 E Wood St, Spartanburg, SC and can be reached out via phone at 864-560-8160.

Location: 101 E Wood St, Spartanburg, SC, 29376-4013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780646000
Provider Name
Bonnie Brown West
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
101 E Wood St, Spartanburg, SC, 29376-4013
Phone Number
864-560-8160
Fax Number
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0054PA 05 SC
institution
Provider Business Practice Location Address Details
Address
101 E Wood St
City
Spartanburg
State
South Carolina
Zip
29303-3040
Phone Number
864-560-8160
Fax Number
person
Provider Business Mailing Address Details
Address
101 E Wood St
City
Spartanburg
State
South Carolina
Zip
29303-3040
Phone Number
864-560-8160
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
A403 (South Carolina)
Definition
Definition to come...
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