Organization
AMG - SOUTHERN TENNESSEE, LLC
Active
Other names
Southern Tennessee Primary Care - Premier Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 920-7214
Entity
Organization
Contact information
Practice address
108 W BLACKWELL ST, TULLAHOMA, TN 37388-3505
(931) 841-3821
(931) 841-3869
Mailing address
PO BOX 399, WINCHESTER, TN 37398-0399
(931) 841-3821
(931) 841-3869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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