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AMG - SOUTHERN TENNESSEE LLC NPI 1316480213


NPI Information

NPI: 1316480213
Provider Name: AMG - SOUTHERN TENNESSEE, LLC

Doing Business As: SOUTHERN TENNESSEE PRIMARY CARE - HUNTERS LANE MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D0309870

Address:
100 HUNTERS LN
SUITE 100
TULLAHOMA, TN
ZIP 37388
Phone: (931) 455-4616
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AMG - SOUTHERN TENNESSEE, LLC is a family medicine in Tullahoma, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMG - SOUTHERN TENNESSEE, LLC NPI is 1316480213. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Tennessee Primary Care - Hunters Lane Medical.

The provider's business location address is:

100 HUNTERS LN
SUITE 100
TULLAHOMA, TN
ZIP 37388-263
Phone: (931) 455-4616
Fax: (931) 455-2362

The provider's authorized official is Jess N. Judy .
The authorized official title is President and has the following contact phone number (615) 920-7214.

The CLIA number assigned to this NPI record is 44D0309870 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/24/2016 and was last updated on 11/24/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineYes

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: 11/14/2023

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