Organization
AMG - HILLSIDE, LLC
Active
Other names
Southern Tennessee Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY WILLIS (MARKET MANAGER)
(931) 766-4574
Entity
Organization
Contact information
Practice address
1275 E COLLEGE ST, SUITE 1, PULASKI, TN 38478-4500
(931) 292-6644
(931) 292-6648
Mailing address
PO BOX 635, PULASKI, TN 38478-0635
(931) 292-6644
(931) 292-6648
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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