Individual
EDUARDO MONTANA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
61 WHITCHER ST, STE 4140, MARIETTA, GA 30060
(404) 943-0289
(404) 943-9787
Mailing address
61 WHITCHER ST, STE 4140, MARIETTA, GA 30060
(404) 943-0289
(404) 943-9787
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
035954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000712962Y
—
GA
Enumeration date
07/05/2006
Last updated
10/23/2012
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