Individual
RUTH DATMARE MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2740 RAY KNIGHT WAY STE 100, ALBANY, GA 31707-0226
(229) 312-0698
(229) 438-7898
Mailing address
2740 RAY KNIGHT WAY STE 100, ALBANY, GA 31707-0226
(229) 312-0698
(229) 438-7898
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
207RG0100X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123270E
—
GA
Enumeration date
10/05/2006
Last updated
02/12/2014
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