Individual
MICAH DAVID MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2129 HELTON DR, FLORENCE, AL 35630-1069
(256) 702-8554
Mailing address
2129 HELTON DR, FLORENCE, AL 35630-1069
(256) 702-8554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-143719
AL
Other
Enumeration date
06/07/2021
Last updated
07/30/2024
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