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General NPI Number Information
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NPI Number | 1861425506
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Entity Type | Individual
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Provider Name | JULIA MICHELLE BOND O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2055 SCENIC HWY N SUITE 3
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City | SNELLVILLE
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State | GA
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Zip | 30078-6167
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Country | US
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Telephone | 770-736-7757
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 ROCK SPRINGS CIR NE #1-1206
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City | ATLANTA
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State | GA
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Zip | 30306-2238
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Country | US
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Telephone | 404-388-7887
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT002273
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License Number State | GA
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