Organization
AMG-SOUTHERN TENNESSEE, LLC
Active
Other names
Southern Tennessee Orthopedic and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (AVP, SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
183 HOSPITAL RD, SUITE B, WINCHESTER, TN 37398-2470
(931) 962-2272
(931) 962-8588
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(931) 962-8588
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521108
—
TN
Enumeration date
09/13/2010
Last updated
11/23/2021
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