person
Ellen M Montgomery, PA
Medical Physician Assistant in Hampton, Virginia
NPI 1881669182

Ellen M Montgomery is a Medical Physician Assistant based in Glen Allen, VA and is specialized in Medical. Ellen M Montgomery practices in Hampton, VA and has the professional credentials of PA. The NPI Number for Ellen M Montgomery is 1881669182 and holds a License No. 0110840718 (Virginia).

The current practice location address for Ellen M Montgomery is 2304 W Mercury Blvd, Hampton, VA and can be reached out via phone at 757-595-9880 and via fax at 757-595-0362.

Location: 2304 W Mercury Blvd, Hampton, VA, 23060-9263
person
Provider Profile Details
NPI Number
1881669182
Provider Name
Ellen M Montgomery
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2304 W Mercury Blvd, Hampton, VA, 23060-9263
Phone Number
757-595-9880
Fax Number
757-595-0362
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970000324 05 VA
institution
Provider Business Practice Location Address Details
Address
2304 W Mercury Blvd
City
State
Zip
23666-3115
Phone Number
757-595-9880
Fax Number
757-595-0362
person
Provider Business Mailing Address Details
Address
2304 W Mercury Blvd
City
State
Zip
23666-3115
Phone Number
757-595-9880
Fax Number
757-595-0362
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110840718 (Virginia)
Definition
Definition to come...
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