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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDILBERTO MONTENEGRO SR.

Active Sole Proprietor

EDILBERTO MONTENEGRO SR. is a Prosthetic/Orthotic Supplier healthcare provider located in NORCROSS, Georgia. NPI 1295146793 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · NORCROSS, GA

Registration Details

NPI Number
1295146793
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2014 (12.258418606878 yrs)
Last Updated
May 19, 2014
Sole Proprietor
Yes

Practice Information

Address
5376 LAMBERT DR APT A
APT A
NORCROSS, GA, 300934864
Browse GA providers · Browse ZIP 30093
Phone
4703629008
Fax
6784007896
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.