Organization
AMG HILLSIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONE LAW KOFORD (PRESIDENT)
(615) 372-8503
Entity
Organization
Contact information
Practice address
1265 E COLLEGE ST, PULASKI, TN 38478-4541
(931) 363-7531
(931) 363-9430
Mailing address
1265 E COLLEGE ST, PULASKI, TN 38478-4541
(931) 363-7531
(931) 363-9430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
TN
207RI0200X
Infectious Disease Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
11/24/2006
Last updated
09/11/2025
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