IndividualActive
Autumn Mongo, PA-C
NPI 1427662964 · Physician Assistant · Springfield, GA
Provider details
- NPI number
- 1427662964
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1451 Highway 21 S Ste H
Springfield, GA 31329-5244
Phone: (912) 754-1035
Fax: (912) 754-1037
Approximate (ZIP-level) locationGet directions
Mailing address
1451 Highway 21 S Ste H
Springfield, GA 31329-5244
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.