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Organization

AMG-CROCKETT, LLC

Active
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Organization

AMG-CROCKETT, LLC

Active
Other names
Southern Tennessee Pediatrics, Lawrenceburg
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7688
Entity
Organization

Contact information

Practice address
2121 N LOCUST AVE STE 3, LAWRENCEBURG, TN 38464-4454
(931) 762-5988
(931) 762-3389
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(931) 967-1333
(615) 920-8775

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL

Other

Enumeration date
04/10/2025
Last updated
09/09/2026
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