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AMG-CROCKETT LLC NPI 1043475700


NPI Information

NPI: 1043475700
Provider Name: AMG-CROCKETT, LLC

Doing Business As: ADVANCED NEUROLOGY ASSOCIATES

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1605 S LOCUST AVE
SUITE 103
LAWRENCEBURG, TN
ZIP 38464
Phone: (931) 762-6571
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AMG-CROCKETT, LLC is a neurology psychiatry neurology in Lawrenceburg, TN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. AMG-CROCKETT, LLC NPI is 1043475700. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Neurology Associates.

The provider's business location address is:

1605 S LOCUST AVE
SUITE 103
LAWRENCEBURG, TN
ZIP 38464-053
Phone: (931) 762-6571
Fax: (931) 762-3339

The provider's authorized official is Michael Clark .
The authorized official title is Division President and has the following contact phone number (615) 372-8500.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 5/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology38839TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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