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Organization
DECATUR COUNTY FAMILY PRACTICE PC
Active
Organization
DECATUR COUNTY FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H MONTGOMERY M.D. (OWNER)
(731) 847-6010
Entity
Organization
Contact information
Practice address
190 UNIVERSITY AVE, PARSONS, TN 38363-2972
(731) 847-6010
(731) 847-6011
Mailing address
190 UNIVERSITY AVE, PO BOX 278, PARSONS, TN 38363-2972
(731) 847-6010
(731) 847-6011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735206
—
TN
Enumeration date
09/22/2006
Last updated
06/25/2009
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