Montgomery Medical | |
311 Landrum Place #100 Clarksville TN 37043 | |
(931) 920-0228 | |
(931) 920-2191 |
Full Name | Montgomery Medical |
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Speciality | Internal Medicine |
Location | 311 Landrum Place, Clarksville, Tennessee |
Authorized Official Name and Position | Chandrakanta D Nawathe (OWNER) |
Authorized Official Contact | 9319200228 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montgomery Medical P.o. Box 3479 Clarksville TN 37043 Ph: (931) 920-0228 | Montgomery Medical 311 Landrum Place #100 Clarksville TN 37043 Ph: (931) 920-0228 |
NPI Number | 1386837235 |
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Provider Enumeration Date | 08/23/2007 |
Last Update Date | 01/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386837235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 29412 (Tennessee) | Primary |
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