# AMG SOUTHERN TN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmer Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477855112
- **Authorized official:** PATRICK MEKO (ADMIN)
- **Authorized official phone:** (931) 779-3691

## Contact information

- **Practice address:** 2578 MAIN ST, PALMER, TN 37365-2730
- **Practice address phone:** (931) 779-3691
- **Practice address fax:** (931) 779-3690
- **Mailing address:** 2578 MAIN ST, PALMER, TN 37365-2730
- **Mailing address phone:** (931) 779-3691
- **Mailing address fax:** (931) 779-3690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2010
- **Last updated:** 12/01/2010