Individual
CHRISTOPHER DAVID MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 STONE ST, JONESBORO, AR 72401-4520
(870) 972-1268
(870) 934-0847
Mailing address
1217 STONE STREET, JONESBORO, AR 72401
(870) 972-1268
(870) 934-0847
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
01/12/2012
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