Individual
BRANDON MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4566 S EASON BLVD, TUPELO, MS 38801-6540
(662) 377-4851
Mailing address
4566 S EASON BLVD, TUPELO, MS 38801-6540
(662) 377-4851
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24400
MS
207V00000X
Obstetrics & Gynecology Physician
50320
TN
207V00000X
Obstetrics & Gynecology Physician
MD.204972
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2009
Last updated
08/22/2023
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