Individual
SHANNON L MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 HOSPITAL DR, NORTHPORT, AL 35476-3360
(205) 333-4500
Mailing address
12451 TIMBERLANE RD, RALPH, AL 35480-9102
(205) 333-3995
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-099131
AL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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