Montgomery, Larry Allen

Montgomery, Larry Allen is an sole proprietor health care provider with primary practice located at 3780 Eisenhower Pkwy , Macon GA 31206-0800. He recently has 2 registered licenses in different health care specialties including Suppliers / Emergency Response System Companies, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Montgomery, Larry Allen can be contacted via phone (478) 633-5500.

Contact Information

Primary practice address
3780 Eisenhower Pkwy Macon GA 31206-0800
Phone: (478) 633-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Emergency Response System Companies 333300000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X GAA-NP001276 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP500008018 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11024684 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 211116 Oklahoma

Profile Details

NPI number 1760092340
LBN Legal business name Montgomery, Larry Allen
Credentials MSN, APRN, AGNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2020
Last updated May 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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