| NPI | 1215144282 |
|---|---|
| Doing Business As | MONTGOMERY FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE MONTGOMERY Owner 731-376-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005776) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-10-21 |