Micah David Montgomery
Nurse Practitioner, Family in Florence, AL. Individual provider (NPI-1).
NPI number1437726791
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1437726791
- Entity type
- Individual (NPI-1)
- Name
- Micah David Montgomery
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2021
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-143719 | AL | Yes |
Practice location
2129 Helton DrFlorence, AL 35630-1069
Phone 256-702-8554
Mailing address
2129 Helton DrFlorence, AL 35630-1069
Phone 256-702-8554
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