Amg-Crockett, LLC
NPI #1578836011 in Lawrenceburg, Tennessee
Provider Information
- NPI Number
- 1578836011
- Entity Type
- Organization
- Organization Name
- Amg-Crockett, LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Feb 14, 2012
- Last Updated
- Feb 17, 2012
Practice Location
- Address
- 1605 S LOCUST AVE
- Address 2
- SUITE 201
- City
- Lawrenceburg
- State
- Tennessee
- ZIP Code
- 38464-4061
- Phone
- (931) 766-8525
Authorized Official
- Name
- MICHAEL CLARK
- Title
- DIVISION PRESIDENT
- Phone
- (615) 372-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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