Organization
MONTGOMERY PSYCHIARY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA P DUFFEY (INSURANCE MANAGER)
(334) 288-9009
Entity
Organization
Contact information
Practice address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(334) 288-9009
(334) 288-9497
Mailing address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(334) 288-9009
(334) 288-9497
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 15148
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510 86780
BLUE CROSS OF ALABAMA
AL
01
—
511 44624
BLUE CROSS OF ALABAMA
AL
Enumeration date
07/24/2014
Last updated
07/24/2014
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