Amg Crockett, LLC

NPI #1528336286 in Lawrenceburg, Tennessee

Provider Information

NPI Number: 1528336286
Entity Type: Organization
Organization Name: Amg Crockett, LLC
Primary Specialty: Surgery
Enumeration Date: Dec 9, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 1605 S LOCUST AVE
City: Lawrenceburg
State: Tennessee
ZIP Code: 38464-4061
Phone: (931) 766-7994

Authorized Official

Name: PATRICK MEKO
Title: DIRECTOR
Phone: (615) 427-2239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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