| Amg -southern Tennessee Llc | |
|
15 S Central Ave Monteagle TN 37356-3074 | |
| (931) 924-4045 | |
| (931) 924-4105 |
| Full Name | Amg -southern Tennessee Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 S Central Ave, Monteagle, Tennessee |
| Authorized Official Name and Position | William Gracey (CEO) |
| Authorized Official Contact | 6153728500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg -southern Tennessee Llc 15 S Central Ave Monteagle TN 37356-3074 Ph: (931) 924-4045 | Amg -southern Tennessee Llc 15 S Central Ave Monteagle TN 37356-3074 Ph: (931) 924-4045 |
| NPI Number | 1699792390 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699792390 | NPI | - | NPPES |
| 3716448 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
South Cumberland Family Care P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 College St, Monteagle, TN 37356 Phone: 931-924-6222 Fax: 949-862-4433 | |
Arthur Davies Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10335 Us Highway 41, Monteagle, TN 37356 Phone: 931-924-3737 Fax: 931-924-3736 | |
Amg-southern Tennessee Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 1st Street, Monteagle, TN 37356 Phone: 931-598-5691 |