# AMG-SOUTHERN TENNESSEE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184666489
- **Authorized official:** MR. ROBERT SCOTT RAPLEE (GROUP PRESIDENT)
- **Authorized official phone:** (615) 372-8500

## Contact information

- **Practice address:** 1805 N JACKSON ST, SUITE B, TULLAHOMA, TN 37388-2290
- **Practice address phone:** (931) 962-0450
- **Practice address fax:** (931) 962-0470
- **Mailing address:** 161 SHIRLEY DR, WINCHESTER, TN 37398-2256
- **Mailing address phone:** (931) 962-0450
- **Mailing address fax:** (931) 962-0470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 07/07/2009