Ebony Sheng Yang Montgomery
Physician Assistant in Alma, AR. Individual provider (NPI-1).
NPI number1669916995
StatusActive
Last updated in NPPESApr 28, 2017
Details
- NPI
- 1669916995
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ebony Sheng Yang Montgomery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2016
- Last updated
- Apr 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA-696 | AR | Yes |
Practice location
825 Highway 71 NAlma, AR 72921-5114
Phone 479-632-6688
Mailing address
825 Highway 71 NAlma, AR 72921-5114
Phone 479-632-6688
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