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Physicians Family Medicine Geriatric Medicine

Provider NPI: 1902287097

Organization Information:
Organization Name:  AMG - LIVINGSTON, LLC
Organization is not Subpart
Authorized Official:  JESS N JUDY  PRESIDENT  615-920-7214

Practice Location:
500 W MAIN ST  LIVINGSTON, TN 38570-1718 US
Tel: 931-823-5681  Fax: 931-823-8203

Business Mailing Address:
500 W MAIN ST  LIVINGSTON, TN 38570-1718 US
Tel: 931-823-5681  Fax: 931-823-8203

NPI Information:
NPI: 1902287097
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Family Medicine
Geriatric Medicine
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207Q00000X





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