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Contact Information

AMG-SOUTHERN TENNESSEE LLC
155 HOSPITAL RD
SUITE E
WINCHESTER, TN37398-2494
 Phone: 931-962-0672
 Fax: 931-967-7817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AMG-SOUTHERN TENNESSEE LLC

NPI Number 1336294222
LBN Legal business name AMG-SOUTHERN TENNESSEE LLC
Authorized official BILL GRACEY - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/24/2007
Last updated 06/17/2008 - About 18 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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