Amg -Southern Tennessee LLC

NPI #1154373512 in Winchester, Tennessee

Provider Information

NPI Number: 1154373512
Entity Type: Organization
Organization Name: Amg -Southern Tennessee LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AMG- SOUTHERN TENNESSEE LLC
Primary Specialty: General Practice
Enumeration Date: May 16, 2006
Last Updated: Jun 17, 2008

Practice Location

Address: 155 HOSPITAL RD
Address 2: SUITE B
City: Winchester
State: Tennessee
ZIP Code: 37398-2494
Phone: (931) 962-4040

Authorized Official

Name: WILLIAM GRACEY
Title: COO
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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