Individual
GEORGIA N MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
1020 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6722
(505) 256-9587
(505) 266-2484
Mailing address
1020 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6722
(505) 256-9587
(505) 266-2484
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75077311
—
NM
Enumeration date
07/12/2006
Last updated
07/08/2007
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