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Contact Information

AMG-HILLSIDE LLC
26032 MAIN ST
ARDMORE, TN38449-3375
 Phone: 931-427-1955
 Fax: 931-427-1960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMG-HILLSIDE LLC

NPI Number 1700208618
LBN Legal business name AMG-HILLSIDE LLC
Authorized official JESS JUDY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2014
Last updated 01/11/2014 - About 12 years ago
Identifiers n/a
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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