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Organization
MONTGOMERY FAMILY HEALTH CENTER INC
Active
Organization
MONTGOMERY FAMILY HEALTH CENTER INC
Active
Other names
Montgomery Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE MONTGOMERY APN (OWNER)
(731) 376-2804
Entity
Organization
Contact information
Practice address
727 S, MAIN STREET, MIDDLETON, TN 38052
(731) 376-2804
(731) 376-2806
Mailing address
727 S, MAIN STREET, MIDDLETON, TN 38052
(731) 376-2804
(731) 376-2806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000005776
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3728789
—
TN
Enumeration date
05/17/2007
Last updated
10/21/2010
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