| Montgomery Psr | |
|
696 Covington Rd Troy NC 27371-7504 | |
| (910) 576-0535 | |
| Not Available |
| Full Name | Montgomery Psr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 696 Covington Rd, Troy, North Carolina |
| Authorized Official Name and Position | Kevin Cochran (FINANCIAL ASSISTANT) |
| Authorized Official Contact | 9199810740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Psr 1331 Sunday Dr Raleigh NC 27607 Ph: (919) 981-0740 | Montgomery Psr 696 Covington Rd Troy NC 27371-7504 Ph: (910) 576-0535 |
| NPI Number | 1326171356 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326171356 | NPI | - | NPPES |
| 8300427S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-062-003 (North Carolina) | Primary |
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