Gwendolyn Elaine Montgomery, NURSE PRACTITIONER is an acute care nurse practitioner in Ellenwood, GA. Gwendolyn Elaine Montgomery, NURSE PRACTITIONER NPI is 1629635859. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3962 BUSBY MILL CT
ELLENWOOD, GA
ZIP 30294-052
Phone: (404) 314-7295
The NPI 1629635859 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/23/2019 and was last updated on 11/27/2023.