# AMG-HILLSIDE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Tennessee Primary Care Lynnville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407688369
- **Authorized official:** CHARLOTTE LAWRENCE (SECRETARY)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 181 MILL ST, LYNNVILLE, TN 38472-3138
- **Practice address phone:** (931) 347-4971
- **Practice address fax:** (931) 347-4976
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
- **Mailing address phone:** (615) 920-7000
- **Mailing address fax:** (615) 920-8775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 08/19/2024