Individual
NADIA L MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2925A DOVE HAVEN CT # A, CHARLESTON, SC 29414-7314
(843) 751-0424
Mailing address
2925A DOVE HAVEN CT # A, CHARLESTON, SC 29414-7314
(843) 751-0424
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-1042
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHCP-1042
DHEC LICENSE NUMBER
SC
Enumeration date
06/24/2019
Last updated
06/24/2019
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