Individual
MR. ROSS MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1105 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 987-2020
Mailing address
47 JEFFERSON ST, NEWNAN, GA 30263-1948
(770) 254-0200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002776
GA
152WC0802X
Corneal and Contact Management Optometrist
Primary
002776
GA
Other
Enumeration date
05/19/2014
Last updated
07/02/2020
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