Organization
AMG CROCKETT LLC
Active
Other names
YOUR FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SYKES (VICE PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
550 HIGHWAY 64 E, HURRICANE PLAZA SUITE 4, WAYNESBORO, TN 38485-3037
(931) 722-2230
(931) 722-2192
Mailing address
550 HIGHWAY 64 E, HURRICANE PLAZA SUITE 4, WAYNESBORO, TN 38485-3037
(931) 722-2230
(931) 722-2192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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