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1992362545
IVERY BONITA REED
COLUMBIA, SC
NPI
1992362545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: SC 22805)
Enumeration Date
2019-05-20
Last Update Date
2019-09-19
Business Address
Mrs. IVERY BONITA REED NP
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203-6862
Phone number: 803-434-8323
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Mailing Address
Mrs. IVERY BONITA REED NP
PO BOX 743904
ATLANTA, GA 30375-3904
Phone number: 803-296-7320
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