| NPI | 1306895362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWEL B MONTGOMERY Owner 770-427-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN100039) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |