Individual
MR. DENNIS TYRONE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
205 VERNON ST, LAGRANGE, GA 30240-3160
(706) 298-4928
(706) 298-4929
Mailing address
205 VERNON ST, LAGRANGE, GA 30240-3160
(706) 298-4928
(706) 298-4929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15008
GA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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