Individual
MONICA AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
711 CANTON RD NE, SUITE 300, MARIETTA, GA 30060-8948
(678) 741-5000
(678) 819-4280
Mailing address
108 MOSS CREEK LN, DUBLIN, GA 31021-3000
(607) 382-9269
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7588
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160866A
—
GA
Enumeration date
05/18/2015
Last updated
06/01/2018
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