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Contact Information

EDUARDO MONTANA JR, MD MPH
61 WHITCHER ST
STE 4140
MARIETTA, GA30060
 Phone: 404-943-0289
 Fax: 404-943-9787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EDUARDO MONTANA JR · (Male)

NPI # 1174554588
Status Active
Credentials MD MPH
Entity Individual
Enumeration date 07/05/2006
Last updated 10/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 035954
  • GA Medicaid 000712962Y
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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