Amg-Crockett, LLC

NPI #1043475700 in Lawrenceburg, Tennessee

Provider Information

NPI Number
1043475700
Entity Type
Organization
Organization Name
Amg-Crockett, LLC
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Jul 22, 2008
Last Updated
May 29, 2012

Practice Location

Address
1605 S LOCUST AVE
Address 2
SUITE 103
ZIP Code
38464-4053
Phone
(931) 762-6571

Authorized Official

Name
MICHAEL CLARK
Title
DIVISION PRESIDENT
Phone
(615) 372-8500

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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