Individual
TINA BONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 COUNTRY PLACE CT, STOCKBRIDGE, GA 30281-1367
(404) 932-3703
Mailing address
20 COUNTRY PLACE CT, STOCKBRIDGE, GA 30281-1367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172A00000X
Driver
Primary
19403037
GA
372600000X
Adult Companion
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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