Individual
JOSH MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 GUILFORD COLLEGE RD APT N, GREENSBORO, NC 27409-2063
(336) 600-1220
Mailing address
138 TANNENBAUM CIR, GREENSBORO, NC 27410-9687
(336) 689-1067
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
309922
NC
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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