NPI 1902964570

Montgomery Trauma Associates

Organisation Preferred Provider Organization Montgomery, AL

Practice location

Address: 2055 E South Blvd Suite 601, Montgomery, AL 36116-2001
Phone: (334) 281-9000
Fax: (334) 281-8262

Authorised official

Name: Tammy G Miller
Title: Billing Manager
Phone: (334) 613-7076

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Alabama →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 26765 (AL)

Registry record

NPI: 1902964570
Entity type: Organization
NPI issued: 5 Dec 2006
Record last updated: 2 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.