Individual
MISS ANDREA MICHELLE MONDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 TROY EDWARDS RD, EATONTON, GA 31024-6458
(706) 473-3662
(706) 749-7871
Mailing address
105 TROY EDWARDS RD, EATONTON, GA 31024-6458
(706) 473-3662
(706) 749-7871
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003183238A
—
GA
05
—
003183238B
—
GA
Enumeration date
03/07/2014
Last updated
04/12/2023
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