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Organization
AMG-SOUTHERN TENNESSEE LLC
Active
Organization
AMG-SOUTHERN TENNESSEE LLC
Active
Other names
Family Physicians of Estill Springs
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
300 S MAIN ST, ESTILL SPRINGS, TN 37330-4042
(931) 649-5139
(931) 649-2766
Mailing address
PO BOX 399, WINCHESTER, TN 37398-0399
(931) 649-5139
(931) 649-2766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
03/30/2022
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