Individual
DR. JENNIFER ANN MONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
3910 ROSEMONT DR, COLUMBUS, GA 31904-5626
(762) 985-0020
(762) 985-0018
Mailing address
1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA 30269-4794
(770) 716-8732
(770) 487-1204
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
962
CT
213E00000X
Podiatrist
E4858
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
962
CT
213EP1101X
Primary Podiatric Medicine Podiatrist
E4858
CA
213ES0000X
Sports Medicine Podiatrist
E4858
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
962
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
E4858
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001531
GA
213ES0131X
Foot Surgery Podiatrist
E4858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008073203
—
CT
01
—
CA126338
MEDICARE PTAN NO CAL
CA
01
—
CB217729
MEDICARE PTAN SO CAL
CA
Enumeration date
05/21/2008
Last updated
11/14/2022
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