Organization
AMG-SOUTHERN TENNESSEE LLC
Active
Parent organization
AMG-SOUTHERN TENNESSEE LLC
Other names
Winchester Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMG-SOUTHERN TENNESSEE LLC
Authorized official
BILL GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
155 HOSPITAL RD, SUITE E, WINCHESTER, TN 37398-2494
(931) 962-0672
(931) 967-7817
Mailing address
155 HOSPITAL RD, SUITE E, WINCHESTER, TN 37398-2494
(931) 962-0672
(931) 967-7817
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
Other
Enumeration date
01/24/2007
Last updated
06/17/2008
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