Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack W. Bonner III, MD

Individual provider Psychiatry Physician · NPI 1336199751

Jack W. Bonner III, MD is a Psychiatry Physician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-5611
Phone: (864) 455-8431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 17455 (SC)

Record details

NPI number1336199751
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESDecember 28, 2009
Mailing address7 Independence Pt, Suite 140, Greenville, SC 29615-4566

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