Individual
LAQUANTA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
37 HWY BYPASS, HAWKINSVILLE, GA 31036
(478) 845-4842
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN251454
GA
Other
Enumeration date
01/25/2022
Last updated
09/13/2022
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