Organization
KIM BONDURANT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM M BONDURANT MD (PRESIDENT)
(770) 386-0090
Entity
Organization
Contact information
Practice address
962 JOE FRANK HARRIS PKWY SE STE 104, CARTERSVILLE, GA 30120-2154
(770) 386-0090
Mailing address
962 JOE FRANK HARRIS PKWY SE STE 104, CARTERSVILLE, GA 30120-2154
(770) 386-0090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055208
GA
Other
Enumeration date
08/30/2007
Last updated
06/18/2008
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