Individual
TAURA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
512 S MAIN ST, STE A, HINESVILLE, GA 31313-4325
(912) 368-4131
Mailing address
PO BOX 2829, RICHMOND HILL, GA 31324-2829
(912) 756-5699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATC000738
GA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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