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Organization

AMG HILLSIDE LLC

Active
Other names
Dba: Alpha Omega Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 565-1508
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/11/2013
Last updated
02/11/2013
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