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AMG - LIVINGSTON, LLC

Physicians Family Medicine Geriatric Medicine

Provider NPI: 1902287097

Organization Information:
Organization Name:  AMG - LIVINGSTON, LLC
Organization is not Subpart
Authorized Official:  KATHY  TEAGUE  SECRETARY  615-920-7000

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

Business Mailing Address:
PO BOX 67  LIVINGSTON, TN 38570-0067 US
Tel: 931-403-1197  Fax: --

NPI Information:
NPI: 1902287097
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QG0300XPhysicians
Family Medicine
Geriatric Medicine
N207V00000XPhysicians
Obstetrics & Gynecology
N208000000XPhysicians
Pediatrics
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



MEDICAL JOBS TN - Page 1

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