Organization
MONAL, LLC
Active
Organization
MONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX PHILLIP SCHULTZ PA-C, MMSC (PHYSICIAN ASSISTANT)
(504) 239-3467
Entity
Organization
Contact information
Practice address
1014 SYCAMORE DR, SUITE B, DECATUR, GA 30030-1644
(404) 299-1700
(404) 299-1616
Mailing address
1014 SYCAMORE DR, SUITE B, DECATUR, GA 30030-1644
(404) 299-1700
(404) 299-1616
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7967
GA
363AS0400X
Surgical Physician Assistant
7967
GA
Other
Enumeration date
05/27/2016
Last updated
05/31/2016
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