Organization
AMG-CROCKETT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONE LAW KOFORD (DIVISION PRESIDENT)
(615) 565-1506
Entity
Organization
Contact information
Practice address
US HIGHWAY 43 SOUTH, LAWRENCEBURG, TN 38464
(931) 762-6571
(931) 766-3339
Mailing address
PO BOX 847, US HIGHWAY 43 SOUTH, LAWRENCEBURG, TN 38464-0847
(931) 762-6571
(931) 766-3339
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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