Peden, Montgomery C

Peden, Montgomery C is an individual health care provider with primary practice located at 101 Professional Lane , Enterprise AL 36330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peden, Montgomery C can be contacted via phone (334) 347-3404.

Contact Information

Primary practice address
101 Professional Lane Enterprise AL 36330
Phone: (334) 347-3404
Fax: (334) 693-0613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00011984 Alabama

Profile Details

NPI number 1851349179
LBN Legal business name Peden, Montgomery C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Sep 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851349179 NPPES
Alabama MEDICAID 000028378
Alabama Other 51028378

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