Individual
JOSEPH H MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 UNIVERSITY AVE, PARSONS, TN 38363-2972
(731) 847-6010
(731) 847-6011
Mailing address
PO BOX 278, PARSONS, TN 38363-0278
(731) 847-6010
(731) 847-6011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3072472
—
TN
05
—
3072475
—
TN
01
—
3735206
MEDICARE GROUP NUMBER
TN
Enumeration date
10/04/2005
Last updated
03/07/2023
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