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Organization
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Active
Organization
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Active
Other names
MONTGOMERY FAMILY MEDICINE RESIDENCY PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ELIZABETH BRUTON (CFO)
(334) 273-4258
Entity
Organization
Contact information
Practice address
4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
(334) 613-3680
(334) 613-3685
Mailing address
4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
(334) 613-3680
(334) 613-3685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
04/09/2020
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