Montgomery, Ron Blake
Montgomery, Ron Blake is an sole proprietor health care provider with primary practice located at 134 Hawkins Rd , Armuchee GA 30105-2069. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Montgomery, Ron Blake can be contacted via phone (706) 506-9877.Contact Information
Primary practice address
134 Hawkins Rd
Armuchee GA 30105-2069
Phone: (706) 506-9877
Fax: (972) 349-1249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X | 2728 | Georgia |
Profile Details
| NPI number | 1801286364 |
|---|---|
| LBN Legal business name | Montgomery, Ron Blake |
| Credentials | CNIM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2015 |
| Last updated | Feb 4th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801286364 | NPPES |
| Georgia | Other | 2278 | CNIM |
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