Organization
AMG CROCKETT, LLC
Active
Other names
LAWRENCEBURG SURGICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MEKO (DIRECTOR)
(615) 427-2239
Entity
Organization
Contact information
Practice address
1605 S LOCUST AVE, LAWRENCEBURG, TN 38464-4061
(931) 766-7994
(931) 766-7984
Mailing address
1605 S LOCUST AVE, LAWRENCEBURG, TN 38464-4061
(931) 766-7994
(931) 766-7984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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