Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annie Jessica Montgomery

Individual provider Early Intervention Provider Agency · NPI 1972111524

Annie Jessica Montgomery is an Early Intervention Provider Agency in Effingham, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2020

Practice location Address checks out

5756 Clearbrook Rd
Effingham, SC 29541-3116
Phone: (843) 373-1793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X (SC)

Record details

NPI number1972111524
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

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