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Organization
AMG-SOUTHERN TENNESSEE LLC
Active
Organization
AMG-SOUTHERN TENNESSEE LLC
Active
Other names
Mountain Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (AVP, SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
21 1ST STREET, MONTEAGLE, TN 37356
(931) 924-8000
(931) 924-8001
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
10/11/2021
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