Individual
WANDA RUTLAND BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1544 SGODA RD, MACON, GA 31217-7929
(478) 741-0490
Mailing address
1544 SGODA RD, MACON, GA 31217-7929
(478) 741-0490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN259509
GA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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