Amg - Hillside, LLC

Organization Active NPI Diagnostic Radiology Physician · Pulaski, TN

NPI 1669927257 · NPPES record last updated Aug 24, 2016

Key facts

NPI
1669927257
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
AMG - HILLSIDE, LLC
Practice address
1265 E College St
Pulaski, TN 38478-4541
Phone
(931) 363-7531
NPI assigned
Aug 24, 2016
Organization subpart
No

Authorized official

Name
Casey Willis
Title
Market Manager
Phone
(931) 766-4574

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Amg-Hillside LLC (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X Yes

Addresses

Primary practice location

1265 E College St
Pulaski, TN 38478-4541

Mailing address

PO Box 635
Pulaski, TN 38478-0635
Phone (931) 363-7531

Other names

  • Hillside Radiologist Doing business as

Other providers in Pulaski, TN

All providers in Pulaski, TN · Diagnostic Radiology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.