NPI | 1285914697 |
---|---|
Other Name | ASCEND MEDICAL GROUP, LLC |
Entity Type | Organization |
Authorized Contact | BRENDA C MONTGOMERY Owner/Mgr 731-441-6317 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: TN 8034) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2011-08-17 |