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NPI Verification

National Provider Identifier: 1659514776

Amg Crockett LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

106 S MILITARY AVE

LORETTO, TN 384692101

Phone: 931-853-4622

NPI Enumeration Date

April 20, 2009

NPI Number

1659514776

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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