Amg-Southern Tennessee LLC
NPI #1093926404 in Winchester, Tennessee
Provider Information
- NPI Number
- 1093926404
- Entity Type
- Organization
- Organization Name
- Amg-Southern Tennessee LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AMG-SOUTHERN TENNESSEE LLC
- Primary Specialty
- Surgery
- Enumeration Date
- May 25, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 83 MEMORIAL DR
- City
- Winchester
- State
- Tennessee
- ZIP Code
- 37398-2401
- Phone
- (931) 967-3966
Authorized Official
- Name
- WILLIAM GRACECY
- Title
- COO
- Phone
- (615) 372-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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