AMG - SOUTHERN TENNESSEE, LLC

TULLAHOMA, TN
NPI1316480213
Doing Business AsSOUTHERN TENNESSEE PRIMARY CARE - HUNTERS LANE MEDICAL
Entity TypeOrganization
Authorized ContactJESS N. JUDY
President
615-920-7214
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies363LF0000X Nurse Practitioner Family
Enumeration Date2016-11-24
Last Update Date2016-11-24
Business Address
AMG - SOUTHERN TENNESSEE, LLC
100 HUNTERS LN SUITE 100
TULLAHOMA, TN 37388-8263
Phone number: 931-455-4616
Mailing Address
AMG - SOUTHERN TENNESSEE, LLC
PO BOX 399
WINCHESTER, TN 37398-0399
Phone number: 931-455-4616