# AMG- LIVINGSTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMG-LIVINGSTON LLC
- **Other names:** Overton Family Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558313197
- **Legal business name:** AMG-LIVINGSTON LLC
- **Authorized official:** WILLLIAM M GRACEY (COO)
- **Authorized official phone:** (615) 372-8500

## Contact information

- **Practice address:** 529 MEDICAL DR, SUITE B, LIVINGSTON, TN 38570-1826
- **Practice address phone:** (931) 823-1266
- **Practice address fax:** (931) 823-7805
- **Mailing address:** 529 MEDICAL DR, SUITE B, LIVINGSTON, TN 38570-1826
- **Mailing address phone:** (931) 823-1266
- **Mailing address fax:** (931) 823-7805

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3716474 | — | TN |