| NPI | 1801503388 |
|---|---|
| Other Name | I. T. MONTGOMERY ELEMENTARY CLINIC |
| Entity Type | Organization |
| Authorized Contact | NORA CECELIA GOUGH-DAVIS Fnp 662-754-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |