MEDICARE: MONTE D STRAWDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1710781091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONTE D STRAWDER

Provider Business Mailing Address
First Line	:	184 HAWKSTEAD DR
Second Line	:
City	:	LEESBURG
State	:	GA
Zip	:	31763-5347
Country	:	US
Telephone Number	:	229-255-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 DAWSON RD STE 114
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3867
Country	:	US
Telephone Number	:	229-255-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/04/2025

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Directions to “ MONTE D STRAWDER ” Practice Location

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