National Provider Identifier Database

AMG SOUTHERN TENNESSEE LLC
Rural Health


Contact Information

AMG-SOUTHERN TENNESSEE LLC
1940 N JACKSON ST STE 220
TULLAHOMA, TN37388-8256
Phone: 931-455-4616
Fax: 931-455-2362
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for AMG-SOUTHERN TENNESSEE LLC

NPI Number 1619605607
Legal business name
LBN
AMG-SOUTHERN TENNESSEE LLC
Authorized official CHARLOTTE LAWRENCE - (SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 08/09/2022
Last updated 08/14/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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