Montgomery, Deedra

Montgomery, Deedra is an individual health care provider with primary practice located at 115 N Harvin St , Sumter SC 29150-4956. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Montgomery, Deedra can be contacted via phone (803) 775-6815.

Contact Information

Primary practice address
115 N Harvin St Sumter SC 29150-4956
Phone: (803) 775-6815
Fax: (803) 773-6232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1225377864
LBN Legal business name Montgomery, Deedra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2013
Last updated Feb 1st, 2013 - about 11 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.

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