Organization
AMG-HILLSIDE LLC
Active
Other names
SOUTHERN SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
204 HILLSIDE DR, PULASKI, TN 38478-4566
(931) 363-3514
(931) 363-3595
Mailing address
204 HILLSIDE DR, PULASKI, TN 38478-4566
(931) 363-3514
(931) 363-3595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39634
TN
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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