Organization
AMG -SOUTHERN TENNESSEE LLC
Active
Parent organization
AMG- SOUTHERN TENNESSEE LLC
Other names
Donald M. Philpott, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMG- SOUTHERN TENNESSEE LLC
Authorized official
WILLIAM GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
155 HOSPITAL RD, SUITE B, WINCHESTER, TN 37398-2494
(931) 962-4040
(931) 962-2277
Mailing address
155 HOSPITAL RD, SUITE B, WINCHESTER, TN 37398-2494
(931) 962-4040
(931) 962-2277
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3716446
—
TN
Enumeration date
05/16/2006
Last updated
06/17/2008
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