Individual
CHADE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2301 ROBESON ST STE 203, FAYETTEVILLE, NC 28305-5641
(910) 615-3220
Mailing address
606 SPENCE ENCLAVE WAY, NASHVILLE, TN 37210-3225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14865
NC
363AM0700X
Medical Physician Assistant
0010-14865
NC
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
11/11/2024
Last updated
05/05/2026
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