NPI 1124084702 · live from the CMS NPI Registry
Advanced Healthcare
Family Medicine in Mooresville, NC. National Provider Identifier 1124084702, active.
NPI record
| NPI | 1124084702 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 191a W Plaza Dr, Mooresville, NC 28117 |
| Practice phone | 704-664-4000 |
| Enumerated | April 24, 2006 |
| Last updated | October 31, 2007 |
| Authorized official | Emmett Montgomery, Owner/Family Practice Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.