Montgomery Family Clinic
Montgomery Family Clinic is a Primary Care Clinic/Center in Madison, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.
- Licensed in
- MS
- In the registry since
- 2011
Practice location Address checks out
122 Weisenberger RdMadison, MS 39110-7993
Phone: (601) 790-9098
Fax: (601) 790-9098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence R524174 (MS) |
|---|
Record details
| NPI number | 1235429648 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Montgomery — Owner/Provider · (601) 790-9098 |
| NPI enumerated | April 19, 2011 |
| Last updated in NPPES | April 19, 2011 |
| Mailing address | 122 Weisenberger Rd, Madison, MS 39110-7993 |
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