RODERICK MONTGOMERY

GREENVILLE, MS
NPI1861943425
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: MS  800798644)
Enumeration Date2016-10-19
Last Update Date2016-10-19
Business Address
-- RODERICK MONTGOMERY
537 PATRICIA DR
GREENVILLE, MS 38701
Phone number: 662-822-8776
Mailing Address
-- RODERICK MONTGOMERY
537 PATRICIA DR
GREENVILLE, MS 38701
Phone number: 662-822-8776