AMG-SOUTHERN TENNESSEE LLC NPI 1073612578

NPI Information

AMG-SOUTHERN TENNESSEE LLC is a general practice in Tullahoma, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee AMG-SOUTHERN TENNESSEE LLC NPI is 1073612578. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ian S. Taylor, Md.

The provider's business location address is:

10054 OLD TULLAHOMA RD
TULLAHOMA, TN
ZIP 37388-122
Phone: (931) 455-6688
Fax: (931) 455-0892

The provider's authorized official is William Gracey .
The authorized official title is Coo and has the following contact phone number (615) 372-8500.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 6/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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