Organization
AMG CROCKETT LLC
Active
Organization
AMG CROCKETT LLC
Active
Other names
Southern Tennessee Orthopedic and Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN COBB (CRED SPEC)
(423) 364-4817
Entity
Organization
Contact information
Practice address
1605 S LOCUST AVE, SUITE 101, LAWRENCEBURG, TN 38464-4061
(931) 762-4400
(931) 762-4499
Mailing address
1605 S LOCUST AVE, SUITE 101, LAWRENCEBURG, TN 38464-4061
(931) 762-4400
(931) 762-4499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520396
—
TN
Enumeration date
08/16/2010
Last updated
03/02/2015
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