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1215144936
AMG-CROCKETT, LLC
LAWRENCEBURG, TN
NPI
1215144936
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Entity Type
Organization
Authorized Contact
JONE LAW KOFORD
Division President
615-565-1506
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2007-05-16
Last Update Date
2020-08-22
Business Address
AMG-CROCKETT, LLC
US HIGHWAY 43 SOUTH
LAWRENCEBURG, TN 38464
Phone number: 931-762-6571
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Mailing Address
AMG-CROCKETT, LLC
PO BOX 847 US HIGHWAY 43 SOUTH
LAWRENCEBURG, TN 38464-0847
Phone number: 931-762-6571
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AMG CROCKETT LLC