# AMG HILLSIDE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dba: Alpha Omega Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457690422
- **Authorized official:** JESS N JUDY (PRESIDENT)
- **Authorized official phone:** (615) 565-1508

## Contact information

- **Practice address:** 1119 E COLLEGE ST, SUITE 3, PULASKI, TN 38478-4563
- **Practice address phone:** (931) 424-8881
- **Practice address fax:** (931) 424-5385
- **Mailing address:** 1119 E COLLEGE ST, SUITE 3, PULASKI, TN 38478-4563
- **Mailing address phone:** (931) 424-8881
- **Mailing address fax:** (931) 424-5385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2013
- **Last updated:** 02/11/2013