Kim Bondurant Md Pc | |
962 Joe Frank Harris Pkwy Se Ste 104 Cartersville GA 30120-2154 | |
(770) 386-0090 | |
Not Available |
Full Name | Kim Bondurant Md Pc |
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Speciality | Internal Medicine |
Location | 962 Joe Frank Harris Pkwy Se Ste 104, Cartersville, Georgia |
Authorized Official Name and Position | Kim M Bondurant (PRESIDENT) |
Authorized Official Contact | 7703860090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kim Bondurant Md Pc 962 Joe Frank Harris Pkwy Se Ste 104 Cartersville GA 30120-2154 Ph: (770) 386-0090 | Kim Bondurant Md Pc 962 Joe Frank Harris Pkwy Se Ste 104 Cartersville GA 30120-2154 Ph: (770) 386-0090 |
NPI Number | 1790979086 |
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Provider Enumeration Date | 08/30/2007 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
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1790979086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 055208 (Georgia) | Primary |
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