AMG - SOUTHERN TENNESSEE, LLC; NPI #1942744339

Contact Information

AMG - SOUTHERN TENNESSEE, LLC

108 W BLACKWELL ST
TULLAHOMA, TN 37388-3505

Phone: 931-841-3821
Fax: 931-841-3869
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for AMG - SOUTHERN TENNESSEE, LLC

NPI Number	`1942744339`
LBN Legal business name	AMG - SOUTHERN TENNESSEE, LLC
Authorized official	JESS JUDY - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/05/2016
Last updated	12/05/2016 - 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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AMG - SOUTHERN TENNESSEE, LLC

Contact Information

Specialty

Family

NPI Profile & details for AMG - SOUTHERN TENNESSEE, LLC

Reviews for AMG - SOUTHERN TENNESSEE, LLC