Edwin Clark Montague, DO | |
304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | |
(706) 509-5000 | |
(404) 778-1401 |
Full Name | Edwin Clark Montague |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 304 Turner Mccall Blvd Sw, Rome, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801112859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 069481 (Georgia) | Primary |
Entity Name | Floyd Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992814586 PECOS PAC ID: 6406852375 Enrollment ID: O20061017000279 |
Mailing Address | Practice Location Address |
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Edwin Clark Montague, DO 420 E 2nd Ave Ste 103, Rome, GA 30161-3210 Ph: (706) 509-3000 | Edwin Clark Montague, DO 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 Ph: (706) 509-5000 |
Todd Rufus Kelley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 85 John Maddox Drive Connector Nw, Rome, GA 30165 Phone: 762-235-2990 Fax: 706-238-8031 | |
Dr. Bethany Wall Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2112 Shorter Ave Nw Ste 240, Rome, GA 30165 Phone: 706-368-8575 Fax: 706-204-9430 | |
Laura M. Dovan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd., Suite 205, Rome, GA 30165 Phone: 706-234-2324 Fax: 706-234-1491 | |
Erica Paez-zapata, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18 Riverbend Dr Sw Ste 210, Rome, GA 30161 Phone: 706-528-4949 Fax: 706-204-8274 | |
David Michael Dohrmann, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-238-8030 Fax: 706-238-8031 | |
Henaro C Sabino Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 504 Redmond Rd Nw, Rome, GA 30165 Phone: 706-235-3855 Fax: 706-290-2710 | |
Katarina Williams, CPNP-PC, BSN, RN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 Three Rivers Dr Ne, Rome, GA 30161 Phone: 706-232-1300 |