Provider Demographics
NPI:1972823276
Name:JAH, N'TUMA MONDAY (DPM)
Entity Type:Individual
Prefix:DR
First Name:N'TUMA
Middle Name:MONDAY
Last Name:JAH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:ARCHDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27263-2758
Mailing Address - Country:US
Mailing Address - Phone:336-875-5917
Mailing Address - Fax:336-875-5919
Practice Address - Street 1:140 BAKER RD
Practice Address - Street 2:
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-2758
Practice Address - Country:US
Practice Address - Phone:336-875-5917
Practice Address - Fax:336-875-5919
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC600213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery