# DECATUR COUNTY FAMILY PRACTICE PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114027018
- **Authorized official:** DR. JOSEPH H MONTGOMERY M.D. (OWNER)
- **Authorized official phone:** (731) 847-6010

## Contact information

- **Practice address:** 190 UNIVERSITY AVE, PARSONS, TN 38363-2972
- **Practice address phone:** (731) 847-6010
- **Practice address fax:** (731) 847-6011
- **Mailing address:** 190 UNIVERSITY AVE, PO BOX 278, PARSONS, TN 38363-2972
- **Mailing address phone:** (731) 847-6010
- **Mailing address fax:** (731) 847-6011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23682 | TN | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 06/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3735206 | — | TN |