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Contact Information

AMG-HILLSIDE, LLC
1265 E COLLEGE ST
PULASKI, TN38478-4541
 Phone: 931-363-7531
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for AMG-HILLSIDE, LLC

NPI # 1588934673
LBN Legal business name AMG-HILLSIDE, LLC
Authorized official MICHAEL CLARK - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2012
Last updated 04/30/2012 - About 14 years ago
Identifiers
TN License # MD0000047963
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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