Organization
AMG-HILLSIDE LLC
Active
Other names
Ardmore Complete Care
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (PRESIDENT)
(615) 920-7212
Entity
Organization
Contact information
Practice address
26032 MAIN ST, ARDMORE, TN 38449-3375
(931) 427-1955
(931) 427-1960
Mailing address
26032 MAIN ST, ARDMORE, TN 38449-3375
(931) 427-1955
(931) 427-1960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/11/2014
Last updated
01/11/2014
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