| Momentum Medical Group Pc | |
|
1910 Church St 2nd Floor (suite 200) Nashville TN 37203-2204 | |
| (615) 208-9010 | |
| (615) 208-9020 |
| Full Name | Momentum Medical Group Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1910 Church St, Nashville, Tennessee |
| Authorized Official Name and Position | Kent Van Sickle (OWNER) |
| Authorized Official Contact | 6152089010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Medical Group Pc Po Box 680245 Franklin TN 37068-0245 Ph: (615) 208-9010 | Momentum Medical Group Pc 1910 Church St 2nd Floor (suite 200) Nashville TN 37203-2204 Ph: (615) 208-9010 |
| NPI Number | 1124321062 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124321062 | NPI | - | NPPES |
| 1523117 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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