Advanced Healthcare
Organization Active NPI Family Medicine Physician · Mooresville, NC
NPI 1124084702 · NPPES record last updated Oct 31, 2007
Key facts
- NPI
- 1124084702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVANCED HEALTHCARE
- Practice address
- 191A W Plaza Dr
Mooresville, NC 28117-6806 - Phone
- (704) 664-4000
- Fax
- (704) 660-5251
- NPI assigned
- Apr 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Emmett Fulcher Montgomery, MD
- Title
- Owner/Family Practice Physician
- Phone
- (704) 664-4000
Practitioners 6
-
Joy J. Politis, PT, MSPT, OCS
National Provider Directory
Locations
191A W Plaza Dr
Mooresville, NC 28117
Phone (704) 664-1333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
191A W Plaza Dr
Mooresville, NC 28117-6806
Mailing address
191A W Plaza Dr
Mooresville, NC 28117-6806
Phone (704) 664-4000
Other providers in Mooresville, NC
- Joe K Ades
- Adm Physical Therapy, LLC
- Advanced Athletic Training Solutions
- Advanced Foot & Ankle Center, PC
- Advanced Health and Chiropractic Center, PLLC
- Advanced Integrative Medicine
- Aesthetic Anesthesia PA
- Agmb Healthcare
- Ahimsa Childbirth Services, Incorporated
- Mahdi Ajjan
All providers in Mooresville, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.