Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amg-Southern Tennessee LLC

Organization General Practice Physician · NPI 1073612578

Amg-Southern Tennessee LLC is a General Practice Physician in Tullahoma, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10054 Old Tullahoma Rd
Tullahoma, TN 37388-6122
Phone: (931) 455-6688
Fax: (931) 455-0892
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1073612578
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAmg-Southern Tennessee LLC
Authorized official William Gracey — Coo · (615) 372-8500
Other names Ian S. Taylor, Md
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJune 17, 2008
Mailing address10054 Old Tullahoma Rd, Tullahoma, TN 37388-6122

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