Individual
MONTGOMERY EDWARD THORNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 MANCHESTER EXPY, STE B001, COLUMBUS, GA 31904-6808
(706) 324-4891
(706) 256-2424
Mailing address
PO BOX 9027, COLUMBUS, GA 31908-9027
(706) 324-4891
(706) 256-2424
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
041977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710278A
—
GA
01
—
202I169635
MEDICARE PTAN
GA
Enumeration date
06/30/2005
Last updated
08/07/2024
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