Organization
AMG-LIVINGSTON LLC
Active
Parent organization
AMG-LIVINGSTON LLC
Other names
Upper Cumberland Center for Women
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMG-LIVINGSTON LLC
Authorized official
WILLIAM M GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
700 W MAIN ST, LIVINGSTON, TN 38570-1720
(931) 823-9970
(931) 823-9006
Mailing address
700 W MAIN ST, LIVINGSTON, TN 38570-1720
(931) 823-9970
(931) 823-9006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621753651
TAX ID
TN
Enumeration date
04/16/2008
Last updated
06/17/2008
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