GEORGIA SHIVELY MONK PA-C NPI 1285145706

NPI Information

NPI: 1285145706
Provider Name: GEORGIA SHIVELY MONK, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
7925 YOUREE DR
SHREVEPORT, LA
ZIP 71105
Phone: (318) 212-3610
Get Directions

Georgia Shively Monk, PA-C is a surgical physician assistant in Shreveport, LA with 7 years of experience. Georgia Shively Monk, PA-C NPI is 1285145706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7925 YOUREE DR
SHREVEPORT, LA
ZIP 71105-127
Phone: (318) 212-3610
Fax: (318) 212-3672

The NPI 1285145706 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2017 and was last updated on 10/24/2017.

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	306988	LOUISIANA	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: 4/28/2024

NPI Synchronization or Removal

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