AMG CROCKETT LLC NPI 1730511858

NPI Information

  • NPI: 1730511858
  • Provider Name: AMG CROCKETT LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: YOUR FAMILY CLINIC
  • CLIA Number: 44D2099132
  • Address: 550 HIGHWAY 64 E
    HURRICANE PLAZA SUITE 4
    WAYNESBORO, TN
    ZIP 38485
  • Phone: (931) 722-2230

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NPI Details

AMG CROCKETT LLC is a family medicine in Waynesboro, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMG CROCKETT LLC NPI is 1730511858. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Your Family Clinic.

The provider's business location address is:

550 HIGHWAY 64 E
HURRICANE PLAZA SUITE 4
WAYNESBORO, TN
ZIP 38485-037
Phone: (931) 722-2230
Fax: (931) 722-2192

The provider's authorized official is Daniel Sykes .
The authorized official title is Vice President and has the following contact phone number (615) 372-8500.

The CLIA number assigned to this NPI record is 44D2099132 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2013 and was last updated on 7/31/2013.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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