Organization
AMG - SOUTHERN TENNESSEE, LLC
Active
Other names
Southern Tennessee Primary Care - Hunters Lane Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N. JUDY (PRESIDENT)
(615) 920-7214
Entity
Organization
Contact information
Practice address
100 HUNTERS LN, SUITE 100, TULLAHOMA, TN 37388-8263
(931) 455-4616
(931) 455-2362
Mailing address
PO BOX 399, WINCHESTER, TN 37398-0399
(931) 455-4616
(931) 455-2362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/24/2016
Last updated
11/24/2016
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