Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1063802767 |
| LBN Legal business name | AMG CROCKETT LLC |
| Authorized official | CASEY WILLIS - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/02/2015 |
| Last updated | 04/28/2015 - About 11 years ago |
| Identifiers | n/a |
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AMG CROCKETT LLC
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AMG CROCKETT LLC