AMG CROCKETT LLC

LAWRENCEBURG, TN
NPI1063802767
Entity TypeOrganization
Authorized ContactCASEY WILLIS
Manager
931-766-4574
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2015-02-02
Last Update Date2015-04-28
Business Address
AMG CROCKETT LLC
1908 N LOCUST AVE
LAWRENCEBURG, TN 38464-2334
Phone number: 931-244-7600
Mailing Address
AMG CROCKETT LLC
1908 N LOCUST AVE
LAWRENCEBURG, TN 38464-2334
Phone number: 931-244-7600
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