Individual
DR. ANDREA A MOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 HIGHWAY 16 E, CARTHAGE, MS 39051-4222
(601) 267-1100
Mailing address
229 SAINT JOHN LN, COVINGTON, LA 70433-3276
(985) 249-5600
(985) 893-8272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15206
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121038
—
MS
Enumeration date
07/08/2006
Last updated
02/15/2019
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