Provider Demographics
NPI:1952605305
Name:DUNTON, MONTANA
Entity Type:Individual
Prefix:MRS
First Name:MONTANA
Middle Name:
Last Name:DUNTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 SOUTHCREST PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7973
Mailing Address - Country:US
Mailing Address - Phone:678-251-1280
Mailing Address - Fax:678-251-1284
Practice Address - Street 1:675 SOUTHCREST PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7973
Practice Address - Country:US
Practice Address - Phone:678-251-1280
Practice Address - Fax:678-251-1284
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN151537163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics