Search › Georgia › 163WE0003X
Colleen Montaque
NPI 1134607286 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2926 Mill Park Ct
Dacula, GA 30019 - Phone
- (347) 678-2865
Registry record
- Primary taxonomy
- 163WE0003X
163WE0003X
- Also registered as
- 207Q00000X
207VG0400X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia