MONAL LLC NPI 1104274323

NPI Information

NPI: 1104274323
Provider Name: MONAL, LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
1014 SYCAMORE DR
SUITE B
DECATUR, GA
ZIP 30030
Phone: (404) 299-1700
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MONAL, LLC is a medical physician assistant in Decatur, GA. MONAL, LLC NPI is 1104274323. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1014 SYCAMORE DR
SUITE B
DECATUR, GA
ZIP 30030-644
Phone: (404) 299-1700
Fax: (404) 299-1616

The provider's authorized official is Alex Phillip Schultz .
The authorized official title is Physician Assistant and has the following contact phone number (504) 239-3467.

The enumeration date for this NPI number is 5/27/2016 and was last updated on 5/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	7967	GEORGIA	No
2	363AM0700X	Physician Assistant	Medical	7967	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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