Amg-Southern Tennessee LLC
NPI #1780075333 in Estill Springs, Tennessee
Provider Information
- NPI Number
- 1780075333
- Entity Type
- Organization
- Organization Name
- Amg-Southern Tennessee LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 17, 2015
- Last Updated
- Mar 30, 2022
Practice Location
- Address
- 300 S MAIN ST
- City
- Estill Springs
- State
- Tennessee
- ZIP Code
- 37330-4042
- Phone
- (931) 649-5139
Authorized Official
- Name
- TERRANCE DILLON
- Title
- ASSISTANT SECRETARY
- Phone
- (502) 596-7220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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