| Doctor Name: | JAMES W MONTAG |
| NPI Number: | 1760520159 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C |
| License Number: | PA787 |
| Business Practice Address: | 415 Boones Creek Rd Suite 1 Jonesborough, TN - 376595165 |
| Business Phone Number: | 4237883080 |
| Business Fax Number: | 4239132810 |
| Mailing Address: | 415 Boones Creek Rd, Suite 1 JONESBOROUGH |
| State: | TN |
| Postal Code: | 376595165 |
| Phone Number: | 4237883080 |
| Fax Number: | 4239132810 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |