Individual
MONA M KOBERNUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6335 HOSPITAL PKWY, JOHNS CREEK, GA 30097-1549
(404) 778-8311
(770) 495-1585
Mailing address
140 THOMAS CREEK CT, ALPHARETTA, GA 30004-2835
(678) 319-0972
(678) 319-0972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN037498
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000874013I
—
GA
Enumeration date
05/27/2006
Last updated
05/16/2014
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