Individual
CAMILLE DANIELLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
201 GOVERNORS DR SW FL 1, HUNTSVILLE, AL 35801-5171
(256) 533-1600
(256) 539-0859
Mailing address
201 GOVERNORS DR SW FL 1, HUNTSVILLE, AL 35801-5171
(256) 533-1600
(256) 539-0859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.2044
AL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/08/2022
Last updated
09/19/2022
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