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Individual

FREEMAN M MONTAQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
2890 DELK RD SE, MARIETTA, GA 30067
(770) 955-8620
(770) 955-0377
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
028123
GA

Other

Enumeration date
12/05/2006
Last updated
10/30/2019
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