Healthcare Provider Details

I. General information

NPI: 1184745119
Provider Name (Legal Business Name): MONTGOMERY ALLERGY & ASTHMA ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 NARROW LANE PKWY
MONTGOMERY AL
36111-2654
US

IV. Provider business mailing address

1420 NARROW LANE PKWY
MONTGOMERY AL
36111-2654
US

V. Phone/Fax

Practice location:
  • Phone: 334-284-4196
  • Fax: 334-284-4256
Mailing address:
  • Phone: 334-284-4196
  • Fax: 334-284-4256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. FRAN M BROWNE
Title or Position: OFFICE MANAGER
Credential:
Phone: 334-284-4196