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1215613658
MATTHEW BONAVITA
CHARLESTON, SC
NPI
1215613658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC LL90327)
Enumeration Date
2023-06-22
Last Update Date
2023-06-25
Business Address
MATTHEW BONAVITA MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number: 843-876-7080
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Mailing Address
MATTHEW BONAVITA MD
169 ASHLEY AVE
CHARLESTON, SC 29425-8905
Phone number:
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