Individual
MR. BRADLEY SCOTT MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
UWA STATION 14, LIVINGSTON, AL 35470-0682
(205) 652-3696
(205) 652-3799
Mailing address
UWA STATION 14, LIVINGSTON, AL 35470-0682
(205) 652-3696
(205) 652-3799
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
068
AL
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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