OrganizationActive
Amg-Southern Tennessee LLC
NPI 1093926404 · Surgery Physician · Winchester, TN
Provider details
- NPI number
- 1093926404
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Amg-Southern Tennessee LLC
- Organization subpart
- Yes
- Authorized official
- William Gracecy, Coo(615) 372-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
83 Memorial Dr
Winchester, TN 37398-2401
Phone: (931) 967-3966
Fax: (931) 962-0373
Approximate (ZIP-level) locationGet directions
Mailing address
83 Memorial Dr
Winchester, TN 37398-2401
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.