Provider Demographics
NPI:1801856653
Name:RAMSEY, BONNIE J (MD)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:J
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3555 HARDEN STREET EXT
Mailing Address - Street 2:15 MEDICAL PARK STE 300
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6894
Mailing Address - Country:US
Mailing Address - Phone:803-545-5017
Mailing Address - Fax:803-255-3451
Practice Address - Street 1:3555 HARDEN STREET EXT
Practice Address - Street 2:15 MEDICAL PARK, SUITE 141
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6894
Practice Address - Country:US
Practice Address - Phone:803-434-4300
Practice Address - Fax:803-434-4351
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2017-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC108932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC108939Medicaid
SCAA54394411OtherMEDICARE-PTAN
SCAA54394411OtherMEDICARE-PTAN
SC108939Medicaid
SCAA54394411OtherMEDICARE-PTAN