| Montgomery County Occ | |
|
310b S Hull St Montgomery AL 36104-4271 | |
| (334) 625-4516 | |
| (334) 262-5451 |
| Full Name | Montgomery County Occ |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 310b S Hull St, Montgomery, Alabama |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery County Occ 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Montgomery County Occ 310b S Hull St Montgomery AL 36104-4271 Ph: (334) 625-4516 |
| NPI Number | 1235805607 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235805607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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