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Contact Information

MARK MONTEROLA
1462 MONTREAL RD
TUCKER, GA30084-6929
 Phone: 770-934-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for MARK MONTEROLA · (Male)

NPI # 1033458906
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2013
Last updated 05/24/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PHTC001834
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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