Individual
GARETH BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
1816 SAINT ANN ST, JACKSON, MS 39202-1257
(815) 280-9396
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
924911
MS
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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