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General NPI Number Information
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NPI Number | 1669330841
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Entity Type | Organization
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Legal Business Name | AMG-SOUTHERN TENNESSEE LLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 2006 DECHERD BLVD
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City | DECHERD
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State | TN
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Zip | 37324-3818
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Country | US
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Telephone | 931-967-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 2006 DECHERD BLVD
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City | DECHERD
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State | TN
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Zip | 37324-3818
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Country | US
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Telephone | 931-967-7171
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Fax | 931-962-8594
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Authorized Official
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Title or Position | SECRETARY
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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