Organization
AMG LIVINGSTON LLC
Active
Other names
Upper Cumberland Center for Women
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
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
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515654
—
TN
Enumeration date
10/02/2009
Last updated
09/19/2025
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