Individual
ARMANDO MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(470) 490-7470
(770) 386-7910
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000841C
—
GA
05
—
100000841D
—
GA
Enumeration date
09/20/2005
Last updated
04/28/2020
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