Individual
DR. RICHARD L. MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, EMERGENCY DEPARTMENT, WINSTON-SALEM, NC 27103-3013
(336) 765-9328
Mailing address
PO BOX 75332, ATTN LISA BROWER, CHARLOTTE, NC 28275-0332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8960085
—
NC
Enumeration date
12/14/2005
Last updated
11/30/2015
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