Organization
ASCEND MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA C MONTOGMERY (MANAGER)
(731) 441-6317
Entity
Organization
Contact information
Practice address
115 HIGHWAY 641 S, CAMDEN, TN 38320-1639
(731) 441-6317
(731) 937-4510
Mailing address
2001 CHARLOTTE AVE, STE 205, NASHVILLE, TN 37203-2032
(731) 441-6317
(731) 937-4150
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
8034
TN
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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