# AMG-HILLSIDE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Essentials Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740527753
- **Authorized official:** JESS N JUDY (PRESIDENT)
- **Authorized official phone:** (615) 565-1508

## Contact information

- **Practice address:** 200 HILLSIDE DR, PULASKI, TN 38478-4566
- **Practice address phone:** (931) 424-9388
- **Practice address fax:** (931) 424-9139
- **Mailing address:** 200 HILLSIDE DR, PULASKI, TN 38478-4566
- **Mailing address phone:** (931) 424-9388
- **Mailing address fax:** (931) 424-9139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 01/10/2013
- **Last updated:** 01/24/2013