Individual
DR. BROOKE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-1788
(803) 774-9113
Mailing address
3555 HARDEN STREET EXT, 15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6894
(803) 434-6412
(803) 434-1537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL27997
SC
207RI0200X
Infectious Disease Physician
66995
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120145A
—
GA
01
—
52545778
BCBS OF GA
GA
05
—
GA1280
—
SC
Enumeration date
07/25/2006
Last updated
02/02/2017
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