AMG - SOUTHERN TENNESSEE LLC NPI 1942744339

NPI Information

NPI: 1942744339
Provider Name: AMG - SOUTHERN TENNESSEE, LLC

Doing Business As: SOUTHERN TENNESSEE PRIMARY CARE - PREMIER FAMILY HEALTHCARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
108 W BLACKWELL ST
TULLAHOMA, TN
ZIP 37388
Phone: (931) 841-3821
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AMG - SOUTHERN TENNESSEE, LLC is a family nurse practitioner in Tullahoma, TN. AMG - SOUTHERN TENNESSEE, LLC NPI is 1942744339. 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 - Premier Family Healthcare.

The provider's business location address is:

108 W BLACKWELL ST
TULLAHOMA, TN
ZIP 37388-505
Phone: (931) 841-3821
Fax: (931) 841-3869

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 enumeration date for this NPI number is 12/5/2016 and was last updated on 12/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

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

NPI Synchronization or Removal

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