Individual
KELLY PASCUAL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 CHARLIE MORRIS RD, COLBERT, GA 30628
(706) 788-2127
(706) 788-2815
Mailing address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-3234
(706) 788-2936
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
081011
GA
Other
Enumeration date
03/29/2011
Last updated
05/04/2022
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