Organization
AMG CROCKETT LLC
Active
Other names
Well-Med Lawrenceburg
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY WILLIS (MANAGER)
(931) 766-4574
Entity
Organization
Contact information
Practice address
1908 N LOCUST AVE, LAWRENCEBURG, TN 38464-2334
(931) 244-7600
(931) 244-7601
Mailing address
1908 N LOCUST AVE, LAWRENCEBURG, TN 38464-2334
(931) 244-7600
(931) 244-7601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
04/28/2015
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