<Unavail>

LBN: Amg - Southern Tennessee, Llc
<Unavail> is an health care organization with primary practice located at 10054 Old Tullahoma Rd , Tullahoma TN 37388. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Amg - Southern Tennessee, Llc can be contacted via phone (931) 967-8641, or through Miller, Sara via phone (615) 920-7780.

Contact Information

Primary practice address
10054 Old Tullahoma Rd Tullahoma TN 37388
Phone: (931) 967-8641
Fax: (931) 455-0892
Website:
Map and Directions
Authorized official contact:
Name: Miller, Sara
Phone: (615) 920-7780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1841541117
LBN Legal business name Amg - Southern Tennessee, Llc
DBA Doing business as <Unavail>
Authorized official Miller, Sara
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 27th, 2012
Last updated Jun 26th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841541117 NPPES
Tennessee MEDICAID 1530024

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