Kim Bondurant MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

055208 Issued in GA

Legal business name

KIM BONDURANT MD PC

Practice address

962 Joe Frank Harris Pkwy SE Ste 104
Cartersville, GA 30120-2154

Phone

(770) 386-0090

NPI assigned

Aug 30, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kim M Bondurant, MD

Title

President

Phone

(770) 386-0090

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1790979086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 JOE FRANK HARRIS PKWY SE STE 104",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202154",
            "telephone_number": "770-386-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 JOE FRANK HARRIS PKWY SE STE 104",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202154",
            "telephone_number": "770-386-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM BONDURANT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BONDURANT",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-386-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sackdinanh Nok Keomahathai, MD
• Samuel Key, MD
• Michelle Khajavi, MS
• Amna Khan, LMSW
• Kidsz Paradise Inc.
• David E Kim, MD
• Kyongchol Kim, MD
• Robert E Kim, MD
• Rosalid Kimani
• Tony Ray Kincannon

• Internal Medicine Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.