Individual
MRS. JEWEL B MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
859 ECTOR CHASE NW, KENNESAW, GA 30152-4788
(770) 427-5114
(770) 427-6396
Mailing address
PO BOX 3235, MARIETTA, GA 30061-3235
(770) 427-5114
(770) 427-6396
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN100039
GA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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