# MONTGOMERY MEDICAL & REHAB LLC

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

## Provider details

- **NPI number:** 1528794989
- **Authorized official:** DR. CHAD LOVELESS DC (OWNER)
- **Authorized official phone:** (972) 310-0628

## Contact information

- **Practice address:** 100 INTERSTATE PARK DR STE 104, MONTGOMERY, AL 36109-5438
- **Practice address phone:** (334) 325-5550
- **Practice address fax:** (334) 325-5551
- **Mailing address:** 100 INTERSTATE PARK DR STE 104, MONTGOMERY, AL 36109-5438
- **Mailing address phone:** (334) 325-5550
- **Mailing address fax:** (334) 325-5551

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2022
- **Last updated:** 07/28/2022
