Organization
AMG CROCKETT LLC
Active
Other names
Southern Tennessee Urology
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7514
Entity
Organization
Contact information
Practice address
190 PROSSER RD, LAWRENCEBURG, TN 38464-4233
(615) 920-7000
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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