Organization
ADVANCED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMETT FULCHER MONTGOMERY MD (OWNER/FAMILY PRACTICE PHYSICIAN)
(704) 664-4000
Entity
Organization
Contact information
Practice address
191A W PLAZA DR, MOORESVILLE, NC 28117-6806
(704) 664-4000
(704) 660-5251
Mailing address
191A W PLAZA DR, MOORESVILLE, NC 28117-6806
(704) 664-4000
(704) 660-5251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2006
Last updated
10/31/2007
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