Montgomery Neurosurgical Associates, P.C.

Contacts

Phone	+1 334-834-6422
Fax	3342645129

Authorized person

Name	TERRY BRYANT
Role	OFFICE MANAGER
Phone	3348346422

Taxonomy

Taxonomy Code	174400000X - Specialist
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	621111
Sponsor’s telephone number	3348346422
Plan sponsor’s address	1510 FOREST AVENUE, MONTGOMERY, AL, 36106

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	621111
Sponsor’s telephone number	3348346422
Plan sponsor’s address	1510 FOREST AVENUE, MONTGOMERY, AL, 36106

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	621111
Sponsor’s telephone number	3348346422
Plan sponsor’s address	1510 FOREST AVENUE, MONTGOMERY, AL, 36106

Signature of

Role	Plan administrator
Date	2021-10-12
Name of individual signing	THOMAS WHISENHUNT, JR.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	621111
Sponsor’s telephone number	3348346422
Plan sponsor’s address	1510 FOREST AVENUE, MONTGOMERY, AL, 36106

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	621111
Sponsor’s telephone number	3348346422
Plan sponsor’s address	1510 FOREST AVENUE, MONTGOMERY, AL, 36106

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1989-01-01
Business code	621111
Sponsor’s telephone number	3348346422
Plan sponsor’s address	1510 FOREST AVENUE, MONTGOMERY, AL, 36106

Unique Award Key	CONT_AWD_DJBMONHVB210174_1540_-NONE-_-NONE-
Awarding Agency	Department of Justice
Link	View Page

Description

Title	MEDICAL SERVICES.
NAICS Code	621112: OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS
Product and Service Codes	Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient	MONTGOMERY NEUROSURGICAL ASSOCIATES PC
UEI	YUGFH4D491F1
Legacy DUNS	838697969
Recipient Address	UNITED STATES, 1510 FOREST AVE, MONTGOMERY, 361061510