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Individual

DR. KATHLEEN MONTLOUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
900 1ST ST STE A, MACON, GA 31201-6806
(478) 743-4030
(478) 743-4032
Mailing address
900 1ST ST STE A, MACON, GA 31201-6806
(478) 743-4030
(478) 743-4032

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
048674
GA
207V00000X
Obstetrics & Gynecology Physician
80421
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000881141B
GA
Enumeration date
02/08/2007
Last updated
04/09/2026
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