Individual
DR. DEBORAH G MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5653 FRIST BLVD, SUITE 630, HERMITAGE, TN 37076-2062
(615) 391-3971
(615) 345-0942
Mailing address
5653 FRIST BLVD, SUITE 630, HERMITAGE, TN 37076-2062
(615) 391-3971
(615) 345-0942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2183251
CIGNA
TN
05
—
3194328
—
TN
01
—
4060491
BCBS
TN
01
—
4119718
AETNA
TN
01
—
B04592
HEALTHSPRING
TN
01
—
P00002737
R/R MEDICARE
TN
01
—
P3078319
FIRST HEALTH
TN
Enumeration date
05/22/2006
Last updated
02/20/2008
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