Individual
MR. LARRY ALLEN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, AGNP-C
Contact information
Practice address
673 PINE ST, MACON, GA 31201-2855
(478) 743-9123
Mailing address
866 ORANGE TER, MACON, GA 31201-2151
(478) 246-1114
(478) 202-2488
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
—
—
363LA2200X
Adult Health Nurse Practitioner
11024684
FL
363LA2200X
Adult Health Nurse Practitioner
14141481-4405
UT
363LA2200X
Adult Health Nurse Practitioner
Primary
211116
OK
363LA2200X
Adult Health Nurse Practitioner
24191369
VA
363LA2200X
Adult Health Nurse Practitioner
314882
AZ
363LA2200X
Adult Health Nurse Practitioner
53-83579-072
KS
363LA2200X
Adult Health Nurse Practitioner
80565
NM
363LA2200X
Adult Health Nurse Practitioner
AP61605671
WA
363LA2200X
Adult Health Nurse Practitioner
GAA-NP001276
GA
363LA2200X
Adult Health Nurse Practitioner
NP500008018
DC
Other
Enumeration date
08/07/2020
Last updated
05/05/2026
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