Organization
AMG - LIVINGSTON, LLC
Active
Other names
Upper Cumberland Center for Women, Clay County Family Wellness, The Livingston Clinic, Oasis Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
500 W MAIN ST, LIVINGSTON, TN 38570-1718
(931) 823-5681
(931) 823-8203
Mailing address
PO BOX 973, LIVINGSTON, TN 38570-0973
(931) 823-4016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/15/2015
Last updated
09/19/2025
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