Individual
ALCYONITA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 CUMMING HWY, SUGAR HILL, GA 30518-6112
(678) 546-4062
Mailing address
934 PIERCE IVY CT, LAWRENCEVILLE, GA 30043-1316
(678) 770-7158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN272461
GA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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