Individual
DR. BROOKE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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