| Montgomery Medical | |
|
311 Landrum Place #100 Clarksville TN 37043 | |
| (931) 920-0228 | |
| (931) 920-2191 |
| Full Name | Montgomery Medical |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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