Organization
AMG - HILLSIDE, LLC
Active
Other names
Hillside Radiologist
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY WILLIS (MARKET MANAGER)
(931) 766-4574
Entity
Organization
Contact information
Practice address
1265 E COLLEGE ST, PULASKI, TN 38478-4541
(931) 363-7531
Mailing address
PO BOX 635, PULASKI, TN 38478-0635
(931) 363-7531
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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