# MONTAGE HEALTH AND WELLNESS CORP

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

## Provider details

- **NPI number:** 1306443684
- **Authorized official:** PATTI D LEE (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (540) 712-1776

## Contact information

- **Practice address:** 5631 BURKE CENTRE PKWY STE C, BURKE, VA 22015-2234
- **Practice address phone:** (540) 712-1776
- **Mailing address:** 17912 WATERFOWL CT, PURCELLVILLE, VA 20132-4281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2020
- **Last updated:** 10/25/2021