Individual
MR. RON BLAKE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
134 HAWKINS RD, ARMUCHEE, GA 30105-2069
(706) 506-9877
(972) 349-1249
Mailing address
134 HAWKINS RD, ARMUCHEE, GA 30105-2069
(706) 506-9877
(972) 349-1249
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2728
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2278
CNIM
GA
Enumeration date
02/04/2015
Last updated
02/04/2015
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