AMG CROCKETT LLC NPI 1063802767

NPI Information

NPI: 1063802767
Provider Name: AMG CROCKETT LLC

Doing Business As: WELL-MED LAWRENCEBURG

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1908 N LOCUST AVE
LAWRENCEBURG, TN
ZIP 38464
Phone: (931) 244-7600
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AMG CROCKETT LLC is a family nurse practitioner in Lawrenceburg, TN. AMG CROCKETT LLC NPI is 1063802767. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Well-med Lawrenceburg.

The provider's business location address is:

1908 N LOCUST AVE
LAWRENCEBURG, TN
ZIP 38464-334
Phone: (931) 244-7600
Fax: (931) 244-7601

The provider's authorized official is Casey Willis .
The authorized official title is Manager and has the following contact phone number (931) 766-4574.

The enumeration date for this NPI number is 2/2/2015 and was last updated on 4/28/2015.

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
1	363LF0000X	Nurse Practitioner	Family			Yes

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

NPI Synchronization or Removal

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