Individual
KYLE MONTGOMERY PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9280 HIGHWAY 5 STE A, DOUGLASVILLE, GA 30134-1501
(770) 949-2250
Mailing address
4575 WEBB BRIDGE RD # 4950, ALPHARETTA, GA 30005-9998
(770) 949-2250
(770) 949-1764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86544
GA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
86544
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
86544
GA
208D00000X
General Practice Physician
86544
GA
Other
Enumeration date
06/23/2014
Last updated
08/24/2021
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