Individual
MRS. RETAUNDA MONIQUE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
428 22ND ST, FORT GORDON, GA 30905-5303
(706) 787-7755
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905
(706) 787-7755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1054922
—
Other
Enumeration date
11/13/2006
Last updated
01/05/2026
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