Provider Demographics
NPI:1801632997
Name:MONAGO, UCHECHUKWU (DPT)
Entity type:Individual
Prefix:
First Name:UCHECHUKWU
Middle Name:
Last Name:MONAGO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:965 PIEDMONT RD NE STE 200
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-5493
Mailing Address - Country:US
Mailing Address - Phone:770-575-2212
Mailing Address - Fax:770-575-2547
Practice Address - Street 1:500 LANIER AVE W STE 303
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7636
Practice Address - Country:US
Practice Address - Phone:770-716-8885
Practice Address - Fax:770-716-7425
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist