Montgomery Family Clinic
NPI #1235429648 in Madison, Mississippi
Provider Information
- NPI Number
- 1235429648
- Entity Type
- Organization
- Organization Name
- Montgomery Family Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 19, 2011
- Last Updated
- Apr 19, 2011
Practice Location
- Address
- 122 WEISENBERGER RD
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-7993
- Phone
- (601) 790-9098
Authorized Official
- Name
- DR. SUSAN L MONTGOMERY, DNP, RN, FNP-DC
- Title
- OWNER/PROVIDER
- Phone
- (601) 790-9098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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