<Unavail>

LBN: Amg Crockett Llc
<Unavail> is an health care organization with primary practice located at 1605 S Locust Ave Suite 101, Lawrenceburg TN 38464-4061. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Amg Crockett Llc can be contacted via phone (931) 762-4400, or through Cobb, Dawn via phone (423) 364-4817.

Contact Information

Primary practice address
1605 S Locust Ave Suite 101 Lawrenceburg TN 38464-4061
Fax: (931) 762-4499
Website:
Authorized official contact:
Name: Cobb, Dawn

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1457666372
LBN Legal business name Amg Crockett Llc
DBA Doing business as <Unavail>
Authorized official Cobb, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2010
Last updated Mar 2nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457666372 NPPES
Tennessee MEDICAID 1520396

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