| Amg-southern Tennessee Llc | |
|
108 W Blackwell St Tullahoma TN 37388-3505 | |
| (931) 841-3821 | |
| Not Available |
| Full Name | Amg-southern Tennessee Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 W Blackwell St, Tullahoma, Tennessee |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg-southern Tennessee Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Amg-southern Tennessee Llc 108 W Blackwell St Tullahoma TN 37388-3505 Ph: (931) 841-3821 |
| NPI Number | 1174365803 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 09/14/2024 |
| Medicare PECOS PAC ID | 5991765943 |
|---|---|
| Medicare Enrollment ID | O20240729001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174365803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dr. Frank W. Semmes, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Ne Atlantic St, Tullahoma, TN 37388 Phone: 931-571-7601 Fax: 931-455-2029 | |
Total Health Care Associates, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Ledford Mill Rd, Ste B, Tullahoma, TN 37388 Phone: 931-222-4310 | |
Tullahoma Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388 Phone: 931-393-3366 Fax: 931-393-1065 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 N Jackson St, Tullahoma, TN 37388 Phone: 931-253-1110 | |
Tullahoma Spine & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Marbury Xing, Tullahoma, TN 37388 Phone: 931-455-0408 Fax: 931-454-9377 | |
Amg-southern Tennessee Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10054 Old Tullahoma Rd, Tullahoma, TN 37388 Phone: 931-455-6688 Fax: 931-455-0892 | |
Donald Tucker Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 William Northern Blvd, Tullahoma, TN 37388 Phone: 931-454-0489 Fax: 931-454-2348 |