| Amg-southern Tennessee Llc | |
|
300 S Main St Estill Springs TN 37330-4042 | |
| (931) 649-5139 | |
| (931) 649-2766 |
| Full Name | Amg-southern Tennessee Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 S Main St, Estill Springs, Tennessee |
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
| Authorized Official Contact | 5025967220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg-southern Tennessee Llc Po Box 399 Winchester TN 37398-0399 Ph: (931) 649-5139 | Amg-southern Tennessee Llc 300 S Main St Estill Springs TN 37330-4042 Ph: (931) 649-5139 |
| NPI Number | 1780075333 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780075333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Vital Care Clinic Of Estill Springs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 S Main St # A, Estill Springs, TN 37330 Phone: 615-612-9397 |