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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