Organization
AMG SOUTHERN TENNESSEE LLC
Active
Other names
Winchester Ear Nose and Throat
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1894 COWAN HWY, SUITE 2, WINCHESTER, TN 37398-2624
(931) 962-1020
(931) 962-1043
Mailing address
1894 COWAN HWY, SUITE 2, WINCHESTER, TN 37398-2624
(931) 962-1020
(931) 962-1043
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516481
—
TN
Enumeration date
11/30/2009
Last updated
09/21/2010
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