Organization · Type 2 NPI
Amg-Southern Tennessee LLC
Family Nurse Practitioner · Coalmont, TN
NPI number
1992966097
Active
Practice location
68 South Industrial Park Road
Coalmont, TN 37313
Fax (931) 692-0012
Mailing address
PO Box 68
Coalmont, TN 37313-0068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1992966097
Amg-Southern Tennessee LLC's National Provider Identifier is 1992966097, issued on Jun 20, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coalmont, TN. The record was last updated on Jun 20, 2008.