Amg Southern Tennessee LLC

NPI #1962660886 in Winchester, Tennessee

Provider Information

NPI Number: 1962660886
Entity Type: Organization
Organization Name: Amg Southern Tennessee LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AMG SOUTHERN TENNESSEE
Primary Specialty: Family Medicine
Enumeration Date: May 28, 2008
Last Updated: Jul 23, 2010

Practice Location

Address: 1397 S COLLEGE ST
Address 2: BLDG 2 SUITE 2
City: Winchester
State: Tennessee
ZIP Code: 37398-2414
Phone: (931) 967-2520

Authorized Official

Name: JESS N JUDY
Title: PRESIDENT
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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