Doctor Name: | DR. THOMAS W MONAGHAN |
NPI Number: | 1134371735 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 8982 |
Business Practice Address: | 7601 Southcrest Parkway Southaven, MS - 38671 |
Business Phone Number: | 6627722130 |
Business Fax Number: | 6627722131 |
Mailing Address: | P.o. Box 405827, ATLANTA |
State: | GA |
Postal Code: | 303845827 |
Phone Number: | 8709345813 |
Fax Number: | 8709345384 |
NPI Enumeration Date: | 10/15/2008 |
NPI Last Update Date: | 06/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0203X |
License Number: | 8982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Therapeutic Radiology |
Taxonomy Definition: |