Organization
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE BRIDGES (OFFICE MANAGER)
(334) 279-9211
Entity
Organization
Contact information
Practice address
6940 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117-3556
(334) 279-9211
(334) 279-9925
Mailing address
6940 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117-3556
(334) 279-9211
(334) 279-9925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528600110
—
AL
01
—
CK4854
RAILROAD MEDICARE
AL
Enumeration date
03/27/2007
Last updated
01/09/2017
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