Organization
AMG CROCKETT LLC
Active
Other names
Southern Tennessee Pulmonology
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY J. WILLIS (MARKET MANAGER)
(931) 766-3344
Entity
Organization
Contact information
Practice address
1323 S LOCUST AVE, LAWRENCEBURG, TN 38464-4040
(931) 766-0850
(931) 766-0849
Mailing address
1323 S LOCUST AVE, LAWRENCEBURG, TN 38464-4040
(931) 766-0850
(931) 766-0849
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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