# MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MONTGOMERY FAMILY MEDICINE RESIDENCY PROGRAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770534901
- **Authorized official:** CHRISTINE ELIZABETH BRUTON (CFO)
- **Authorized official phone:** (334) 273-4258

## Contact information

- **Practice address:** 4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
- **Practice address phone:** (334) 613-3680
- **Practice address fax:** (334) 613-3685
- **Mailing address:** 4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
- **Mailing address phone:** (334) 613-3680
- **Mailing address fax:** (334) 613-3685

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 04/09/2020