Amg Livingston LLC
Internal Medicine in Cookeville, TN. Organization (NPI-2).
NPI number1245569805
StatusActive
Last updated in NPPESFeb 5, 2016
Details
- NPI
- 1245569805
- Entity type
- Organization (NPI-2)
- Legal business name
- Amg Livingston LLC
- Organization subpart
- No
- Enumeration date
- Dec 10, 2009
- Last updated
- Feb 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Algood Medical Clinic (Doing Business As)
Practice location
660 W Main StCookeville, TN 38506-5323
Phone 931-537-6872 · Fax 931-537-6635
Mailing address
660 W Main StCookeville, TN 38506-5323
Phone 931-537-6872 · Fax 931-537-6635
Authorized official
Jess N Judy
President
6153728500
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