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Contact Information

LAVERNE S MONTGOMERY, MA,RD, LD
5255 SNAPFINGER PARK DR
SUITE 110
DECATUR, GA30035-4084
 Phone: 770-981-2211
 Fax: 770-981-0208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Dietary Manager

132700000X
Indicates primary specialty

NPI Profile & details for LAVERNE S MONTGOMERY · (Female)

NPI # 1922108406
Status Active
Credentials MA,RD, LD
Entity Individual
Enumeration date 09/24/2006
Last updated 11/07/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # LD000993
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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