Individual
MS. SANDRA J MONDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
100 LANTANA RD, SUITE 202, CROSSVILLE, TN 38555-1915
(931) 484-5141
(931) 484-5620
Mailing address
100 LANTANA RD, SUITE 202, CROSSVILLE, TN 38555-1915
(931) 484-5141
(931) 484-5620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2246
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007760
—
TN
Enumeration date
10/22/2012
Last updated
06/24/2020
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