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Organization
AMG CROCKETT LLC
Active
Organization
AMG CROCKETT LLC
Active
Other names
First Choice Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B CLARK (PRESIDENT)
(615) 459-4531
Entity
Organization
Contact information
Practice address
184 PROSSER RD, LAWRENCEBURG, TN 38464-4233
(931) 762-1800
(615) 459-4531
Mailing address
184 PROSSER RD, LAWRENCEBURG, TN 38464-4233
(931) 762-1800
(615) 459-4531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2009
Last updated
06/25/2009
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