Individual
AUGUST DESHAE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CUMBERLAND SQ # 3046, LEBANON, TN 37087-3408
(931) 302-5984
Mailing address
1 CUMBERLAND SQ # 3046, LEBANON, TN 37087-3408
(931) 302-5984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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