Montgomery, Laverne S

Montgomery, Laverne S is an sole proprietor health care provider with primary practice located at 5255 Snapfinger Park Dr Suite 110, Decatur GA 30035-4084. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Montgomery, Laverne S can be contacted via phone (770) 981-2211.

Contact Information

Primary practice address
5255 Snapfinger Park Dr Suite 110 Decatur GA 30035-4084
Phone: (770) 981-2211
Fax: (770) 981-0208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X LD000993 Georgia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD000993 Georgia

Profile Details

NPI number 1922108406
LBN Legal business name Montgomery, Laverne S
Credentials MA,RD, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Nov 7th, 2016 - about 9 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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