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NPI 1043475700

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

More TN providers

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.

Amg-Crockett, LLC — NPI 1043475700, Lawrenceburg, TN | NPI Central