Organization
AMG CROCKETT LLC
Active
Other names
First Choice Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B CLARK (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
106 S MILITARY AVE, LORETTO, TN 38469-2101
(931) 853-4622
(931) 853-4621
Mailing address
106 S MILITARY AVE, LORETTO, TN 38469-2101
(931) 853-4622
(931) 853-4621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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