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Contact Information

AMG - SOUTHERN TENNESSEE, LLC
108 W BLACKWELL ST
TULLAHOMA, TN37388-3505
 Phone: 931-841-3821
 Fax: 931-841-3869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMG SOUTHERN TENNESSEE LLC · (Female)

NPI Number 1942744339
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2016
Last updated 12/05/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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