Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN WALTON MONGO, PA-C
Active Sole ProprietorAUTUMN WALTON MONGO, PA-C is a Physician Assistant healthcare provider located in SPRINGFIELD, Georgia. NPI 1427662964 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPRINGFIELD, GA
Registration Details
- NPI Number
- 1427662964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2020 (5.7652040128009 yrs)
- Last Updated
- Nov 6, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1451 HIGHWAY 21 S STE HSPRINGFIELD, GA, 313295244Browse GA providers · Browse ZIP 31329
- Phone
- 9127541035
- Fax
- 9127541037
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SPRINGFIELD, GA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER L HENSON | PA | 1063448090 |
| ANNA HORNE | PA | 1942921135 |
| EMILEE DODD | PA | 1538852116 |
| GABRIELLE RACHEL USHER | — | 1750069373 |
| MCKENZIE ELIZABETH RAHN | PA-C | 1811740483 |
| KAITLYN NICOLE KELLY | PA | 1023811270 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.