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MATTHEW ALEXANDER MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
342 COX BLVD, SHEFFIELD, AL 35660-4020
(256) 383-4473
(256) 381-5232
Mailing address
PO BOX 2587, MUSCLE SHOALS, AL 35662-2587
(256) 383-4473
(256) 381-5232

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-120512
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326373861
GROUP NPI
AL
Enumeration date
02/13/2013
Last updated
02/13/2013
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