Individual
MRS. GINI M MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
40 MEDICAL CIR, MOULTON, AL 35650-1256
(256) 974-0606
(256) 522-2226
Mailing address
PO BOX 340, MOULTON, AL 35650-0340
(256) 974-8440
(256) 522-2226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1075886
AL
Other
Enumeration date
03/23/2006
Last updated
04/14/2025
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