OrganizationActive
Amg-Crockett, LLC
NPI 1043475700 · Neurology Physician · Lawrenceburg, TN
Provider details
- NPI number
- 1043475700
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Michael Clark, Division President
- License
- 38839 (TN)
Practice location
1605 S Locust Ave
Suite 103
Lawrenceburg, TN 38464-4053
Phone: (931) 762-6571
Fax: (931) 762-3339
Mailing address
Po Box 248
Lawrenceburg, TN 38464-0248
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2012-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.