Organization
MONTGOMERY MEDICAL
Active
Organization
MONTGOMERY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRAKANTA D NAWATHE MD (OWNER)
(931) 920-0228
Entity
Organization
Contact information
Practice address
311 LANDRUM PLACE, #100, CLARKSVILLE, TN 37043
(931) 920-0228
(931) 920-2191
Mailing address
P.O. BOX 3479, CLARKSVILLE, TN 37043
(931) 920-0228
(931) 920-2191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29412
TN
Other
Enumeration date
08/23/2007
Last updated
01/25/2011
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