# JOSEPH S. MONDY III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467492504
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 044546 | GA | — |
| 2086S0102X | Surgical Critical Care Physician | 044546 | GA | — |
| 2086S0129X | Vascular Surgery Physician | 044546 | GA | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 02/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000764376B | — | GA |
| 05 | — | 000764376E | — | GA |
| 05 | — | 000764376F | — | GA |
| 05 | — | G44546 | — | SC |