Individual
DR. STEPHEN PATRICK MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29546
STATE LICENSE
KY
Enumeration date
09/08/2006
Last updated
03/07/2023
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