Organization
MONTGOMERY TRAUMA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY G MILLER (BILLING MANAGER)
(334) 613-7076
Entity
Organization
Contact information
Practice address
2055 E SOUTH BLVD, SUITE 601, MONTGOMERY, AL 36116-2001
(334) 281-9000
(334) 281-8262
Mailing address
2055 E SOUTH BLVD, SUITE 601, MONTGOMERY, AL 36116-2001
(334) 281-9000
(334) 281-8262
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
26765
AL
305R00000X
Preferred Provider Organization
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659454254
VERMILLION NPI
AL
01
—
51001703
BCBS AL VERMILLION
AL
05
—
529926030
—
AL
Enumeration date
12/05/2006
Last updated
05/02/2008
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