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1801112859
EDWIN CLARK MONTAGUE
ROME, GA
NPI
1801112859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: GA 069481)
Enumeration Date
2010-04-15
Last Update Date
2023-04-26
Business Address
EDWIN CLARK MONTAGUE D.O.
304 TURNER MCCALL BLVD SW
ROME, GA 30165-5621
Phone number: 706-509-5000
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Mailing Address
EDWIN CLARK MONTAGUE D.O.
420 E 2ND AVE STE 103
ROME, GA 30161-3210
Phone number: 706-509-3000
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