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Gwendolyn Montgomery, NURSE PRACTITIONER
NPI 1629635859 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3962 Busby Mill Ct
Ellenwood, GA 30294 - Phone
- (404) 314-7295
- Organisation at this address
- Premier Healthcare Providers, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Acute Care Nurse Practitioner
363LA2100X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia