Individual
MARTIN G MONDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247
(770) 874-5439
(770) 874-5483
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5483
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33096
WI
207L00000X
Anesthesiology Physician
ME99404
FL
207P00000X
Emergency Medicine Physician
MD.30804
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31895500
—
WI
01
—
P00082072
RAILROAD
WI
Enumeration date
12/15/2005
Last updated
03/25/2025
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