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Individual

JOSEPH S. MONDY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4750 WATERS AVE, SUITE 500, SAVANNAH, GA 31404-6200
(912) 352-8346
(912) 355-1414
Mailing address
PO BOX 116336, ATLANTA, GA 30368-6336
(866) 957-8346
(912) 355-1414

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
044546
GA
2086S0102X
Surgical Critical Care Physician
044546
GA
2086S0129X
Vascular Surgery Physician
Primary
044546
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000764376B
GA
05
000764376E
GA
05
000764376F
GA
05
G44546
SC
Enumeration date
06/07/2006
Last updated
02/13/2019
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