Organization
MATTHEW M. MONDI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW M MONDI M.D. (CHIEF EXECUTIVE OFFICER)
(706) 724-5451
Entity
Organization
Contact information
Practice address
1430 HARPER ST, BUILDING B, AUGUSTA, GA 30901-0617
(706) 724-5451
Mailing address
1430 HARPER ST, BUILDING B, AUGUSTA, GA 30901-0617
(706) 724-5451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10409292
—
VA
01
—
1429K
BLUE CROSS
NC
01
—
190681
MEDCOST
NC
01
—
2679309
UNITED HEALTHCARE
NC
05
—
3810008155
—
WV
05
—
5905895
—
NC
01
—
7406921
AETNA
NC
01
—
808466
PARTNERS
NC
01
—
P00435405
RAILROAD MEDICARE PIN
—
05
—
Q0015H
—
SC
Enumeration date
04/18/2008
Last updated
04/18/2008
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