Organization
AMG - SOUTHERN TENNESSEE, LLC
Active
Parent organization
AMG - SOUTHERN TENNESSEE, LLC
Other names
Family Physicians of Estill Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMG - SOUTHERN TENNESSEE, LLC
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7780
Entity
Organization
Contact information
Practice address
10054 OLD TULLAHOMA RD, TULLAHOMA, TN 37388
(931) 967-8641
(931) 455-0892
Mailing address
10054 OLD TULLAHOMA RD, TULLAHOMA, TN 37388-6122
(931) 967-8641
(931) 455-0892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530024
—
TN
Enumeration date
09/27/2012
Last updated
06/26/2018
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