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NPI 1215210364

OrganizationActive

Amg - Hillside, LLC

NPI 1215210364 · Pediatrics Physician · Pulaski, TN

Provider details

NPI number: 1215210364
Entity type: Organization
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Authorized official: Jess Judy, Vice-President
License: DO1829 (TN)

Practice location

202 Hillside Dr

Pulaski, TN 38478-4566

Phone: (931) 363-4543

Fax: (931) 363-4523

More TN providers

Mailing address

Po Box 631

Pulaski, TN 38478-0631

Registry dates

Enumerated: 2011-09-26
Last updated: 2011-09-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amg - Hillside, LLC — NPI 1215210364, Pulaski, TN | NPI Central