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Organization
EAST MONTGOMERY CHRISTIAN FAMILY MEDICINE, LLC
Active
Organization
EAST MONTGOMERY CHRISTIAN FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY D MCINTYRE MD (OWNER)
(334) 279-8180
Entity
Organization
Contact information
Practice address
129 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 279-8180
(334) 279-8214
Mailing address
129 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 279-8180
(334) 279-8214
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00025985
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009991115
—
AL
Enumeration date
08/25/2006
Last updated
02/09/2017
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