Individual
DR. KALLAN SIAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 GEORGIAN PARK STE 200, PEACHTREE CITY, GA 30269-6974
(770) 632-8909
Mailing address
1285 WAIANUENUE AVE, HILO, HI 96720-1209
(808) 932-3940
(808) 933-0011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94701
GA
207Q00000X
Family Medicine Physician
MD-21180
HI
Other
Enumeration date
04/02/2017
Last updated
03/27/2023
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