Wallace Montgomery
NPI #1053655670 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1053655670
- Entity Type
- Individual
- Name
- Wallace Montgomery
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Nov 20, 2012
- Last Updated
- Nov 20, 2012
Practice Location
- Address
- 620 S LAUREL ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71601-4859
- Phone
- (870) 534-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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