Monique Fawn Towns, RT(R)

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

401179 Issued in GA

Practice address

3703 Brightwater Dr
Douglasville, GA 30135-3011

Phone

(678) 838-9717

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Monique Fawn Cheney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1568655991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 BRIGHTWATER DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353011",
            "telephone_number": "678-838-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 BRIGHTWATER DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353011",
            "telephone_number": "678-838-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNS",
        "first_name": "MONIQUE",
        "middle_name": "FAWN",
        "name_prefix": "Mrs.",
        "credential": "RT(R)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "GA",
            "license": "401179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "CHENEY",
            "middle_name": "FAWN",
            "prefix": "MISS",
            "credential": "RT(R)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Radiography Radiologic Technologist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Radiography Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.