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Organization

ASCEND MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA C MONTGOMERY (MANAGER)
(731) 441-6317
Entity
Organization

Contact information

Practice address
115 VICKSBURG AVE, CAMDEN, TN 38320-1613
(731) 441-6317
(731) 937-4510
Mailing address
212 MINERAL WELLS AVE, PARIS, TN 38242
(731) 441-6317
(731) 937-4510

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
8034
TN

Other

Enumeration date
07/01/2011
Last updated
07/01/2011
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