Individual
DR. MICHAEL ANTHONY MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-4350
Mailing address
1014 FORSYTH ST STE 100, MACON, GA 31201-2051
(478) 633-7600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17167
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2025
Last updated
08/06/2025
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