OrganizationActive
Advanced Healthcare
NPI 1124084702 · Family Medicine Physician · Mooresville, NC
Provider details
- NPI number
- 1124084702
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Emmett Montgomery, Owner/Family Practice Physician
Practice location
191a W Plaza Dr
Mooresville, NC 28117-6806
Phone: (704) 664-4000
Fax: (704) 660-5251
Mailing address
191a W Plaza Dr
Mooresville, NC 28117-6806
Registry dates
- Enumerated
- 2006-04-24
- Last updated
- 2007-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.