Individual
DR. DOMINIC ANTHONY MONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2000
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
022445
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000379838B
—
GA
Enumeration date
07/11/2006
Last updated
08/03/2010
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