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Contact Information

AMG-HILLSIDE LLC
204 HILLSIDE DRIVE
PULASKI, TN38478
 Phone: 931-363-3514
 Fax: 931-363-3595
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AMG-HILLSIDE LLC

NPI Number 1710105499
LBN Legal business name AMG-HILLSIDE LLC
Authorized official JONE KOFORD - (DIVISION PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2007
Last updated 04/15/2010 - About 16 years ago
Identifiers
Other CK2947 RAILROAD MEDICARE
TN Other 3153524 BCBS TN
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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