Organization
ONE STOP HEALTHCARE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MONTGOMERY (OWNER)
(415) 840-4396
Entity
Organization
Contact information
Practice address
1143 LAKE ESTATES DR, HATTIESBURG, MS 39402-3614
(415) 840-4396
Mailing address
1143 LAKE ESTATES DR, HATTIESBURG, MS 39402-3614
(415) 840-4396
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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