Individual
DR. THOMAS MARCEL MONTAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
853 N CHURCH ST, SUITE 620, SPARTANBURG, SC 29303-3098
(864) 560-1674
(864) 560-1690
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12313
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4235491
AETNA
SC
05
—
5901496
—
NC
01
—
88768
MEDCOST
SC
01
—
F228175206
MEDICARE PIN
SC
05
—
T53554
—
SC
Enumeration date
01/30/2006
Last updated
02/01/2021
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