Amg Crockett LLC

NPI #1730511858 in Waynesboro, Tennessee

Provider Information

NPI Number: 1730511858
Entity Type: Organization
Organization Name: Amg Crockett LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 31, 2013
Last Updated: Jul 31, 2013

Practice Location

Address: 550 HIGHWAY 64 E
Address 2: HURRICANE PLAZA SUITE 4
City: Waynesboro
State: Tennessee
ZIP Code: 38485-3037
Phone: (931) 722-2230

Authorized Official

Name: DANIEL SYKES
Title: VICE PRESIDENT
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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