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Contact Information

MONTGOMERY MEDICAL
311 LANDRUM PLACE
#100
CLARKSVILLE, TN37043
 Phone: 931-920-0228
 Fax: 931-920-2191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MONTGOMERY MEDICAL

NPI Number 1386837235
LBN Legal business name MONTGOMERY MEDICAL
Authorized official CHANDRAKANTA NAWATHE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2007
Last updated 01/25/2011 - About 15 years ago
Identifiers
TN License # 29412
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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