| NPI | 1649413055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY M BOND Provider/Owner 706-548-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 043880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 119157) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 175504) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2017-02-16 |