Amg - Hillside, LLC

Pediatrics Physician · Pulaski, TN

Organization Active NPI

NPI number 1215210364

Practice location

202 Hillside Dr
Pulaski, TN 38478-4566
Phone
(931) 363-4543
Fax
(931) 363-4523

Open in Google Maps

NPI record

NPI
1215210364
Entity type
Organization (Type 2)
Enumeration date
September 26, 2011
Last updated
September 26, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X DO1829 TN

Mailing address

PO Box 631
Pulaski, TN 38478-0631
Phone
(931) 363-4543
Fax
(931) 363-4523

Authorized official

Name
Jess Judy
Title
Vice-President
Phone
(615) 372-8500

Other names

  • Kids First Pediatric Center

About Amg - Hillside, LLC

Amg - Hillside, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 202 Hillside Dr, Pulaski, TN 38478-4566. The NPI number 1215210364 was assigned on September 26, 2011 and the record was last updated on September 26, 2011.

Amg - Hillside, LLC lists a license in the registry: #DO1829 (TN) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jess Judy, Vice-President.

Frequently asked questions

What is the NPI number of Amg - Hillside, LLC?

The NPI number is 1215210364.

What is the phone number of Amg - Hillside, LLC?

The phone number listed for the practice location is (931) 363-4543.

Where is Amg - Hillside, LLC located?

202 Hillside Dr, Pulaski, TN 38478-4566.

What is the taxonomy code for Amg - Hillside, LLC?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Pulaski

All Pediatrics Physician providers in Pulaski, TN →