Amg Crockett LLC
NPI #1063802767 in Lawrenceburg, Tennessee
Provider Information
- NPI Number
- 1063802767
- Entity Type
- Organization
- Organization Name
- Amg Crockett LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 2, 2015
- Last Updated
- Apr 28, 2015
Practice Location
- Address
- 1908 N LOCUST AVE
- City
- Lawrenceburg
- State
- Tennessee
- ZIP Code
- 38464-2334
- Phone
- (931) 244-7600
Authorized Official
- Name
- CASEY WILLIS
- Title
- MANAGER
- Phone
- (931) 766-4574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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