# AMG CROCKETT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUMMERTOWN MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316349764
- **Authorized official:** LEANNE BARRETT (DIRECTOR)
- **Authorized official phone:** (615) 920-7231

## Contact information

- **Practice address:** 4955 HIGHWAY 43 N, MOUNT PLEASANT, TN 38474-5010
- **Practice address phone:** (615) 920-7231
- **Mailing address:** 4955 HIGHWAY 43 N, MOUNT PLEASANT, TN 38474-5010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2014
- **Last updated:** 09/17/2014