Healthcare Provider Details

I. General information

NPI: 1932187432
Provider Name (Legal Business Name): ANDREW P MONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 12/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 RADIO HILL RD
MARION VA
24354-6587
US

IV. Provider business mailing address

792 OLD EBENEZER RD
MARION VA
24354-6014
US

V. Phone/Fax

Practice location:
  • Phone: 276-783-1827
  • Fax: 276-783-2879
Mailing address:
  • Phone: 276-783-8491
  • Fax: 276-783-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101237981
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: