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AMG-SOUTHERN TENNESSEE LLC NPI 1184666489


NPI Information

NPI: 1184666489
Provider Name: AMG-SOUTHERN TENNESSEE LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 44D2151055

Address:
1805 N JACKSON ST
SUITE B
TULLAHOMA, TN
ZIP 37388
Phone: (931) 962-0450
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AMG-SOUTHERN TENNESSEE LLC is an obstetrics gynecology in Tullahoma, TN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. AMG-SOUTHERN TENNESSEE LLC NPI is 1184666489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1805 N JACKSON ST
SUITE B
TULLAHOMA, TN
ZIP 37388-290
Phone: (931) 962-0450
Fax: (931) 962-0470

The provider's authorized official is Robert Scott Raplee .
The authorized official title is Group President and has the following contact phone number (615) 372-8500.

The CLIA number assigned to this NPI record is 44D2151055 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 7/7/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13716449MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEPART B GROUP #
23716449MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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