Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 0101274032 | VA |
N | 207T00000X | Neurosurgeon | 25754 | MS |
N | 207T00000X | Neurosurgeon | 57000 | TN |
NPI | 1104115385 |
---|---|
Provider Name | Aaron Bond |
First Address | Memphis, TN 38120-2300 |
Second Address | Lynchburg, VA 24501-1109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09239037 | (05) | MS |
Q037874 | (05) | TN |