Individual
JOE MONTES DE OCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11650 ALPHARETTA HWY STE 100, ROSWELL, GA 30076-3805
(404) 596-5670
(404) 334-0479
Mailing address
11650 ALPHARETTA HWY STE 100, ROSWELL, GA 30076-3805
(404) 596-5670
(404) 334-0479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN302741
GA
363L00000X
Nurse Practitioner
Primary
RN302741
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN302741
RN LICENSE
GA
Enumeration date
09/05/2022
Last updated
09/09/2022
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