Search › Arkansas › 101YM0800X
Eddie Montgomery
NPI 1548885601 · on the registry since 2020
Practice
- Address
- 20400 Colonel Glenn Rd
Little Rock, AR 72210 - Phone
- (501) 650-2723
- Organisation at this address
- Youth Home Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 292
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas