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Contact Information

SYDNEY N MONTGOMERY
500 MEDICAL CENTER BLVD STE 250
LAWRENCEVILLE, GA30046-3402
 Phone: 770-979-4700
 Fax: 770-979-1060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Obstetric, Inpatient

163WX0003X
Indicates primary specialty

NPI Profile & details for SYDNEY N MONTGOMERY · (Female)

NPI Number 1447896956
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2019
Last updated 10/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN259595
  • GA Medicaid 003256365
  • Other 15385033 CAQH
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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