Organization
EAST MONTGOMERY CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JACKSON (BUSINESS OFFICE MANAGER)
(334) 260-9142
Entity
Organization
Contact information
Practice address
440 TAYLOR RD, SUITE 3300, MONTGOMERY, AL 36117-3588
(334) 260-9142
(334) 260-9144
Mailing address
440 TAYLOR RD, SUITE 3300, MONTGOMERY, AL 36117-3588
(334) 260-9142
(334) 260-9144
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9747
AL
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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