Individual
BRAXTON MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
647 CARPENTER RD, MC DERMOTT, OH 45652-9027
(740) 464-8833
Mailing address
647 CARPENTER RD, MC DERMOTT, OH 45652-9027
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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