Provider Demographics
NPI:1881018521
Name:BOND, EMILY ALISON (DO)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ALISON
Last Name:BOND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 E GREENVILLE ST STE 3850
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1774
Mailing Address - Country:US
Mailing Address - Phone:864-512-6024
Mailing Address - Fax:864-512-6123
Practice Address - Street 1:2000 E GREENVILLE ST STE 3850
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1774
Practice Address - Country:US
Practice Address - Phone:864-512-6024
Practice Address - Fax:864-512-6123
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC89999207R00000X
VA0102204215208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVJ158AMedicare PIN
VA429814YWAUMedicare PIN