Organization
AMG-LIVINGSTON LLC
Active
Other names
Livingston Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
506 W MAIN ST, LIVINGSTON, TN 38570-1718
(931) 823-2663
(931) 403-6094
Mailing address
PO BOX 973, LIVINGSTON, TN 38570-0973
(931) 823-2663
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
10/03/2006
Last updated
09/19/2025
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