Montgomery, Ron Blake

Montgomery, Ron Blake is an sole proprietor health care provider with primary practice located at 134 Hawkins Rd , Armuchee GA 30105-2069. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Montgomery, Ron Blake can be contacted via phone (706) 506-9877.

Contact Information

Primary practice address
134 Hawkins Rd Armuchee GA 30105-2069
Phone: (706) 506-9877
Fax: (972) 349-1249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 2728 Georgia

Profile Details

NPI number 1801286364
LBN Legal business name Montgomery, Ron Blake
Credentials CNIM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2015
Last updated Feb 4th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801286364 NPPES
Georgia Other 2278 CNIM

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