Organization
AMG-SOUTHERN TENNESSEE LLC
Active
Parent organization
AMG-SOUTHERN TENNESSEE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMG-SOUTHERN TENNESSEE LLC
Authorized official
WILLIAM GRACECY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
83 MEMORIAL DR, WINCHESTER, TN 37398-2401
(931) 967-3966
(931) 962-0373
Mailing address
83 MEMORIAL DR, WINCHESTER, TN 37398-2401
(931) 967-3966
(931) 962-0373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
04/20/2008
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