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1972823425
MALATRICE MONTGOMERY
MARIETTA, GA
NPI
1972823425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 005866)
Enumeration Date
2010-06-07
Last Update Date
2024-02-28
Business Address
MALATRICE MONTGOMERY PA-C
790 CHURCH ST NE STE 400
MARIETTA, GA 30060-8957
Phone number: 770-405-2976
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Mailing Address
MALATRICE MONTGOMERY PA-C
PO BOX 3157
INDIANAPOLIS, IN 46206-3157
Phone number: 770-405-2976
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