National Provider Identifier Database

AMG SOUTHERN TENNESSEE LLC
Family


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
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for AMG - SOUTHERN TENNESSEE, LLC

NPI Number 1942744339
Legal business name
LBN
AMG - SOUTHERN TENNESSEE, LLC
Authorized official JESS JUDY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/05/2016
Last updated 12/05/2016 - About 10 years 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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