Individual
MRS. CALLIE DARLENE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
105 W STONE DR STE 3A, KINGSPORT, TN 37660-3365
(423) 392-6200
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000014405
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517292
—
TN
Enumeration date
09/15/2009
Last updated
06/02/2023
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