| Mona Med Group Inc | |
|
8484 Dorchester Rd Charleston SC 29420-7319 | |
| (803) 269-4965 | |
| Not Available |
| Full Name | Mona Med Group Inc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 8484 Dorchester Rd, Charleston, South Carolina |
| Authorized Official Name and Position | Stefan Montgomery (CEO) |
| Authorized Official Contact | 8032694965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mona Med Group Inc 8484 Dorchester Rd Charleston SC 29420-7319 Ph: (803) 269-4965 | Mona Med Group Inc 8484 Dorchester Rd Charleston SC 29420-7319 Ph: (803) 269-4965 |
| NPI Number | 1225331119 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225331119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 27277 (South Carolina) | Primary |
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