Organization
PAIN RELIEF OF WEST TN
Active
Other names
Ascend Medical Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA C MONTGOMERY (OWNER/MGR)
(731) 441-6317
Entity
Organization
Contact information
Practice address
116 VICKSBURG AVE, CAMDEN, TN 38320-1614
(731) 441-6317
(731) 937-4510
Mailing address
116 VICKSBURG AVE, CAMDEN, TN 38320-1614
(731) 441-6317
(731) 937-4510
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
8034
TN
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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