Individual
MR. FERNANDO RAY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
JAMES H. QUILLEN VAMC, CORNER OF SIDNEY AND LAMONT, MOUNTAIN HOME, TN 37684
(423) 926-1196
Mailing address
JAMES H. QUILLEN VAMC, CORNER OF SIDNEY AND LAMONT, MOUNTAIN HOME, TN 37684
(423) 926-1196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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