Amg-Crockett, Llc

LBN: Amg-Crockett, Llc
Amg-Crockett, Llc is an health care organization with primary practice located at 1605 S Locust Ave Suite 103, Lawrenceburg TN 38464-4053. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Amg-Crockett, Llc can be contacted via phone (931) 762-6571, or through Koford, Jone via phone (615) 372-8503.

Contact Information

Primary practice address
1605 S Locust Ave Suite 103 Lawrenceburg TN 38464-4053
Phone: (931) 762-6571
Fax: (931) 766-3339
Website:
Map and Directions
Authorized official contact:
Name: Koford, Jone
Phone: (615) 372-8503

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Urology 208800000X D0042141 Maryland

Profile Details

NPI number 1912125600
LBN Legal business name Amg-Crockett, Llc
DBA Doing business as
Authorized official Koford, Jone
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated May 18th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912125600 NPPES
Tennessee Other 01069597 AMERIGROUP

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