AMG CROCKETT LLC

LAWRENCEBURG, TN
NPI1952780454
Doing Business AsSOUTHERN TENNESSEE PRIMARY CARE
Entity TypeOrganization
Authorized ContactCASEY WILLIS
Manager
931-766-4574
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2015-05-29
Last Update Date2015-05-29
Business Address
AMG CROCKETT LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 38464-2746
Phone number: 931-762-0531
Mailing Address
AMG CROCKETT LLC
1009 N LOCUST AVE
LAWRENCEBURG, TN 38464-2746
Phone number: 931-762-0531