Individual
MONTANA CARTER WOLLENHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
855 W BROAD ST, ATHENS, GA 30601-2511
(706) 621-7575
Mailing address
340 BEDFORD DR, ATHENS, GA 30606-6918
(770) 712-9884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14091
GA
Other
Enumeration date
06/15/2026
Last updated
07/23/2026
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