Montgomery, Patricia

Montgomery, Patricia is an sole proprietor health care provider with primary practice located at 814 Radford Blvd , Albany GA 31704-1130. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Montgomery, Patricia can be contacted via phone (229) 639-7820.

Contact Information

Primary practice address
814 Radford Blvd Albany GA 31704-1130
Phone: (229) 639-7820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 188439 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN051705 Georgia

Profile Details

NPI number 1952591034
LBN Legal business name Montgomery, Patricia
Credentials NURSE PRATITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952591034 NPPES
Massachusetts Other 188439 COMMONWEALTH OF MASSACHUS
Massachusetts Other RN051705 COMMONWEALTH OF MASSACHUS

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