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KELLY PASCUAL MONTGOMERY M.D.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1851680938
Individual Registrant: KELLY PASCUAL MONTGOMERY M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
11 CHARLIE MORRIS RD COLBERT, GA 30628 US
Tel: 706-788-2127 Fax: 706-788-2815
Tel: 706-788-2127 Fax: 706-788-2815
Contact information for business:
11 CHARLIE MORRIS RD COLBERT, GA 30628-2445 US
Tel: 706-788-3234 Fax: 706-788-2936
Tel: 706-788-3234 Fax: 706-788-2936
Registration Information:
NPI: 1851680938
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | FL | ME121352 |
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | GA | 081011 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
