Organization
BLUE RIDGE MOUNTAIN INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K BOND MD (PRESIDENT/OVNER)
(706) 635-7231
Entity
Organization
Contact information
Practice address
17 BARCLAY ST, ELLIJAY, GA 30540-3309
(706) 635-7231
(706) 635-7232
Mailing address
17 BARCLAY ST, ELLIJAY, GA 30540-3309
(706) 635-7231
(706) 635-7232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020408
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00242141A
—
GA
Enumeration date
07/29/2008
Last updated
07/29/2008
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