Individual
MICHAEL T MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 532-0056
Mailing address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 532-0056
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA320
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051552391
—
AL
01
—
51512941MOU
BCBS
AL
01
—
970027632
RAILROAD MEDICARE
—
Enumeration date
03/24/2006
Last updated
06/13/2025
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