| Amg Crockett Llc | |
|
106 S Military Ave Loretto TN 38469-2101 | |
| (931) 853-4622 | |
| (931) 853-4621 |
| Full Name | Amg Crockett Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 106 S Military Ave, Loretto, Tennessee |
| Authorized Official Name and Position | Michael B Clark (PRESIDENT) |
| Authorized Official Contact | 6153728500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg Crockett Llc 106 S Military Ave Loretto TN 38469-2101 Ph: (931) 853-4622 | Amg Crockett Llc 106 S Military Ave Loretto TN 38469-2101 Ph: (931) 853-4622 |
| NPI Number | 1659514776 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 04/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659514776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Crockett Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 N Military St, Loretto, TN 38469 Phone: 931-853-6970 Fax: 931-853-6974 | |
Ecm Health Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 722 N Miliary St, Loretto, TN 38469 Phone: 931-853-6970 Fax: 256-767-3077 | |
Matthew E. Schantz, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Military St Ste 1, Loretto, TN 38469 Phone: 931-853-6136 Fax: 931-853-6137 | |
Ecm Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 N Military St, Loretto, TN 38469 Phone: 931-853-6970 Fax: 256-767-3077 | |
Amg-crockett, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 722 N Military St, Loretto, TN 38469 Phone: 931-853-6970 Fax: 931-853-6974 |