Amg Crockett, LLC

NPI #1730492737 in Lawrenceburg, Tennessee

Provider Information

NPI Number: 1730492737
Entity Type: Organization
Organization Name: Amg Crockett, LLC
Primary Specialty: Surgery
Enumeration Date: Jul 19, 2010
Last Updated: Jul 19, 2010

Practice Location

Address: 1605 S LOCUST AVE
Address 2: SUITE 201
City: Lawrenceburg
State: Tennessee
ZIP Code: 38464-4061
Phone: (931) 766-7994

Authorized Official

Name: PATRICK MEKO
Title: REGIONAL DIR. PHYSICIAN SVCS
Phone: (615) 427-2239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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