Individual
CHARLOTTE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
727 S MAIN ST, MIDDLETON, TN 38052-3607
(731) 376-2804
(731) 376-2806
Mailing address
727 S MAIN ST, PO BOX 536, MIDDLETON, TN 38052-3607
(731) 376-2804
(731) 376-2806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN0000005776
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3928238
—
TN
Enumeration date
11/16/2005
Last updated
10/07/2010
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