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Contact Information

AMG - SOUTHERN TENNESSEE, LLC
100 HUNTERS LN
SUITE 100
TULLAHOMA, TN37388-8263
 Phone: 931-455-4616
 Fax: 931-455-2362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMG - SOUTHERN TENNESSEE, LLC

NPI # 1316480213
LBN Legal business name AMG - SOUTHERN TENNESSEE, LLC
Authorized official JESS JUDY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2016
Last updated 11/24/2016 - About 10 years ago
Identifiers n/a
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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