Martha Montgomery

NPI 1003294760 - Clinic/Center - 261QA0600X

NPI Details
NPI 1003294760
Gender Female
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
112 W FARIS RD
GREENVILLE SC, 29605-3061, US
Phone (404) 290-0296
Fax
Business Location
112 W FARIS RD
GREENVILLE SC, 29605-3061, US
Phone (404) 290-0296
Fax
Toxanomy
Taxonomy Code 261QA0600X
License State South Carolina
License Number 261QA0600X
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According to our database, Mrs. Martha Montgomery NPI is 1003294760, taxonomy code is 261QA0600X and license number is 261QA0600X, license state is located at South Carolina. Martha Montgomery physically located at 112 W Faris Rd, Greenville SC, 29605-3061. NPI Number Martha Montgomery has the Individual type.

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1003294760 NPI number is provided on an as is basis without warranty of any kind. 1003294760 is maintained by the National Plan & Provider Enumeration System. The contents of Martha Montgomery are for informational purposes only.