Individual
MARY D MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 MOUNT ZION RD, UNION CITY, TN 38261-7694
(731) 884-2645
Mailing address
466 OAK GROVE RD, DRESDEN, TN 38225-1748
(731) 364-6934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000045259
TN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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