Individual
DR. SPENCER MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6525
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5139
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29520
MS
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
29520
MS
Other
Enumeration date
10/21/2021
Last updated
01/31/2022
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