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Individual

MONA K ABUKHALED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
2416 CAPSTONE CT, COLUMBUS, GA 31909-2795
(706) 327-1281
(706) 576-9714
Mailing address
5538 ROARING BRANCH RD, COLUMBUS, GA 31904-2830

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1115
HI
363LP0200X
Pediatric Nurse Practitioner
APRN-1115
HI

Other

Enumeration date
04/27/2011
Last updated
07/16/2024
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