# AMG-SOUTHERN TENNESSEE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Physicians of Estill Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780075333
- **Authorized official:** TERRANCE DILLON (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7220

## Contact information

- **Practice address:** 300 S MAIN ST, ESTILL SPRINGS, TN 37330-4042
- **Practice address phone:** (931) 649-5139
- **Practice address fax:** (931) 649-2766
- **Mailing address:** PO BOX 399, WINCHESTER, TN 37398-0399
- **Mailing address phone:** (931) 649-5139
- **Mailing address fax:** (931) 649-2766

## Taxonomy

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

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 03/30/2022