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1699768101
STACEY W MCKENZIE
JOHNSON CITY, TN
NPI
1699768101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: TN 18756)
Enumeration Date
2005-08-30
Last Update Date
2017-05-03
Business Address
-- STACEY W MCKENZIE MD
2151 CENTURY LN
JOHNSON CITY, TN 37604-4469
Phone number: 423-926-2500
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Mailing Address
-- STACEY W MCKENZIE MD
PO BOX 70403 365 STOUT DRIVE
JOHNSON CITY, TN 37614-1703
Phone number: 423-439-4515
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