Amg-Southern Tennessee LLC

NPI #1619605607 in Tullahoma, Tennessee

Provider Information

NPI Number
1619605607
Entity Type
Organization
Organization Name
Amg-Southern Tennessee LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Aug 9, 2022
Last Updated
Aug 14, 2025

Practice Location

Address
1940 N JACKSON ST STE 220
ZIP Code
37388-8256
Phone
(931) 455-4616

Authorized Official

Name
CHARLOTTE LAWRENCE
Title
SECRETARY
Phone
(615) 920-7000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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