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Individual

DR. BONDA ANN ABIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., MPH

Contact information

Practice address
1120 AVON PL, GREENVILLE, MS 38701-8305
(662) 931-0490
Mailing address
1120 AVON PL, GREENVILLE, MS 38701-8305
(662) 931-0490

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
11166
MS
2083P0901X
Public Health & General Preventive Medicine Physician
7906
HI
2083P0901X
Public Health & General Preventive Medicine Physician
A46165
CA
2083P0901X
Public Health & General Preventive Medicine Physician
MD07203R
LA

Other

Enumeration date
02/28/2011
Last updated
03/26/2011
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