Amg Crockett LLC
NPI #1013374073 in Lawrenceburg, Tennessee
Provider Information
- NPI Number
- 1013374073
- Entity Type
- Organization
- Organization Name
- Amg Crockett LLC
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Jan 21, 2016
- Last Updated
- Jan 21, 2016
Practice Location
- Address
- 1611 S LOCUST AVE
- Address 2
- SUITE 200B
- City
- Lawrenceburg
- State
- Tennessee
- ZIP Code
- 38464-4055
- Phone
- (931) 766-3684
Authorized Official
- Name
- CASEY J. WILLIS
- Title
- MARKET MANAGER
- Phone
- (931) 766-4574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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