Montgomery, Emmett Fulcher

Montgomery, Emmett Fulcher is an individual health care provider with primary practice located at 104 Knox Ct Ste 100 , Davidson NC 28036-0590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montgomery, Emmett Fulcher can be contacted via phone (704) 892-5454.

Contact Information

Primary practice address
104 Knox Ct Ste 100 Davidson NC 28036-0590
Fax: (704) 892-5858
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35242 North Carolina

Profile Details

NPI number 1356337646
LBN Legal business name Montgomery, Emmett Fulcher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 20th, 2022 - about 2 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 1356337646 NPPES
North Carolina MEDICAID 8960083

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