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Contact Information

DAVID MONDECAR
1291 STANLEY RD NW
KENNESAW, GA30152-4359
 Phone: 770-427-0147
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for DAVID MONDECAR · (Male)

NPI # 1609396662
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2017
Last updated 06/21/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 12198
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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