Amg- Livingston LLC
NPI #1558313197 in Livingston, Tennessee
Provider Information
- NPI Number
- 1558313197
- Entity Type
- Organization
- Organization Name
- Amg- Livingston LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AMG-LIVINGSTON LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 16, 2006
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 529 MEDICAL DR
- Address 2
- SUITE B
- City
- Livingston
- State
- Tennessee
- ZIP Code
- 38570-1826
- Phone
- (931) 823-1266
Authorized Official
- Name
- WILLLIAM M GRACEY
- Title
- COO
- Phone
- (615) 372-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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