| Amg-crockett Llc | |
|
4995 Highway 43 N Ste D Mt Pleasant TN 38474 | |
| (931) 964-0849 | |
| (931) 964-0852 |
| Full Name | Amg-crockett Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4995 Highway 43 N, Mt Pleasant, Tennessee |
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg-crockett Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Amg-crockett Llc 4995 Highway 43 N Ste D Mt Pleasant TN 38474 Ph: (931) 964-0849 |
| NPI Number | 1255069639 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Medicare PECOS PAC ID | 4789770199 |
|---|---|
| Medicare Enrollment ID | O20221020000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255069639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Maury Regional Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Cross Bridges Rd, Mt Pleasant, TN 38474 Phone: 931-379-5821 | |
Fast Pace Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 N Main St, Mt Pleasant, TN 38474 Phone: 931-379-3229 | |
Mrmg Mt. Pleasant Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S Cross Bridges Rd, Mt Pleasant, TN 38474 Phone: 931-379-5821 Fax: 931-379-5867 |