Amg Crockett LLC

NPI #1316349764 in Mount Pleasant, Tennessee

Provider Information

NPI Number: 1316349764
Entity Type: Organization
Organization Name: Amg Crockett LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 17, 2014
Last Updated: Sep 17, 2014

Practice Location

Address: 4955 HIGHWAY 43 N
City: Mount Pleasant
State: Tennessee
ZIP Code: 38474-5010
Phone: (615) 920-7231

Authorized Official

Name: LEANNE BARRETT
Title: DIRECTOR
Phone: (615) 920-7231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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