Individual
RIAN L. MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 206-8475
(205) 206-8300
Mailing address
PO BOX 12366, BIRMINGHAM, AL 35202-2366
(205) 780-7101
(205) 206-8338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13940
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-05508
BCBS
AL
Enumeration date
07/26/2006
Last updated
10/30/2007
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