NPI | 1477747293 |
---|---|
Doing Business As | MCKENZIE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | LISA K PAGE Credentialing Manager 731-352-7907 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD23833) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
291U00000X Clinical Medical Laboratory (Licence: TN MD23833) | |
Enumeration Date | 2007-09-05 |
Last Update Date | 2019-08-27 |