Organization
GOLDEN TRIANGLE UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN H BOND M.D. (PHYSICIAN)
(662) 327-2921
Entity
Organization
Contact information
Practice address
321 HOSPITAL DR, SUITE 1, COLUMBUS, MS 39705-1920
(662) 327-2921
(662) 328-6858
Mailing address
321 HOSPITAL DR, SUITE 1, COLUMBUS, MS 39705-1920
(662) 327-2921
(662) 328-6858
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12474
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01726810
—
MS
05
—
109115
—
AL
01
—
730-19417
BLUE CROSS BLUE SHIELD
AL
01
—
DP0484
RAILROAD MEDICARE
—
Enumeration date
03/05/2009
Last updated
08/10/2009
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