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Individual

ERWIN B MONTGOMERY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35255-5310
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
46025
WI
2084N0400X
Neurology Physician
Primary
L3025DP
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01732317
MS
01
051596720
BCBS
AL
01
051596721
BCBS
AL
01
051596722
BCBS
AL
05
109485
AL
05
109486
AL
05
109488
AL
01
P00829061
RAILROAD MEDICARE
AL
Enumeration date
02/02/2006
Last updated
09/26/2011
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