Montana, Armando
Montana, Armando is an individual health care provider with primary practice located at 150 Gentilly Blvd , Cartersville GA 30120-8522. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Montana, Armando can be contacted via phone (470) 490-7470.Contact Information
Primary practice address
150 Gentilly Blvd
Cartersville GA 30120-8522
Phone: (470) 490-7470
Fax: (770) 386-7910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002791 | Georgia |
Profile Details
| NPI number | 1992791552 |
|---|---|
| LBN Legal business name | Montana, Armando |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Apr 28th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992791552 | NPPES |
| Georgia | MEDICAID | 100000841C | |
| Georgia | MEDICAID | 100000841D |
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