Individual
THESSELON WARREN MONDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
76367
GA
207XS0106X
Orthopaedic Hand Surgery Physician
76367
GA
207XS0106X
Orthopaedic Hand Surgery Physician
85081
SC
207XS0106X
Orthopaedic Hand Surgery Physician
ME 101703
FL
Other
Enumeration date
07/12/2008
Last updated
07/29/2024
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