Monda, Dominic Anthony

Monda, Dominic Anthony is an individual health care provider with primary practice located at 915 Gordon Ave , Thomasville GA 31792-6614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Monda, Dominic Anthony can be contacted via phone (229) 228-2000.

Contact Information

Primary practice address
915 Gordon Ave Thomasville GA 31792-6614
Phone: (229) 228-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 022445 Georgia

Profile Details

NPI number 1457386203
LBN Legal business name Monda, Dominic Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 3rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457386203 NPPES
Georgia MEDICAID 000379838B

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