Monderson, Thesselon Warren

Monderson, Thesselon Warren is an individual health care provider with primary practice located at 1805 Vernon Rd Ste B , Lagrange GA 30240-3871. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Monderson, Thesselon Warren can be contacted via phone (706) 812-9902.

Contact Information

Primary practice address
1805 Vernon Rd Ste B Lagrange GA 30240-3871
Phone: (706) 812-9902
Fax: (706) 845-1833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 85081 South Carolina
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 76367 Georgia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME 101703 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 76367 Georgia

Profile Details

NPI number 1689838286
LBN Legal business name Monderson, Thesselon Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2008
Last updated Jul 29th, 2024 - about 2 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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