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Individual

DR. EMILY A.P. MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 347-1300
(304) 347-1397
Mailing address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 347-1300
(304) 347-1397

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19240
WV
207V00000X
Obstetrics & Gynecology Physician
Primary
19240
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0047960000
WV
Enumeration date
09/02/2006
Last updated
04/06/2022
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