Provider Demographics
NPI:1629732151
Name:BONDS-CHRISTMON, EVONNA NICOLE
Entity type:Individual
Prefix:
First Name:EVONNA
Middle Name:NICOLE
Last Name:BONDS-CHRISTMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 PONCE DE LEON AVENUE NE STE 300
Mailing Address - Street 2:#1155
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1864
Mailing Address - Country:US
Mailing Address - Phone:404-585-7344
Mailing Address - Fax:
Practice Address - Street 1:1620 HOLLYWOOD RD NW APT 617
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-3462
Practice Address - Country:US
Practice Address - Phone:615-630-4498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-30
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula