Individual
JOHN LOWELL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 SUNSET BLVD, EMERGENCY MEDICINE DEPARTMENT, WEST COLUMBIA, SC 29169
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41060
SC
207P00000X
Emergency Medicine Physician
LL41060
SC
Other
Enumeration date
06/28/2017
Last updated
11/10/2020
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