Samuel Montague
Radiology, Diagnostic Neuroimaging in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1043973340
StatusActive
Last updated in NPPESOct 14, 2021
Details
- NPI
- 1043973340
- Entity type
- Individual (NPI-1)
- Name
- Samuel Montague
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2021
- Certification date
- Oct 14, 2021
- Last updated
- Oct 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085D0003X | Radiology, Diagnostic Neuroimaging | 332062 | GA | Yes |
Practice location
1280 Bramlett BlvdLawrenceville, GA 30045-2362
Phone 470-484-0932
Mailing address
1280 Bramlett BlvdLawrenceville, GA 30045-2362
Phone 470-484-0932
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