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205 Hospital Dr Suite A Mc Kenzie TN 38201-1649 | |
(731) 352-7907 | |
(731) 352-4459 |
Full Name | |
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Speciality | Family Medicine |
Location | 205 Hospital Dr, Mc Kenzie, Tennessee |
Authorized Official Name and Position | Lisa K Page (CREDENTIALING MANAGER) |
Authorized Official Contact | 7313527907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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205 Hospital Dr Suite A Mc Kenzie TN 38201-1649 Ph: (731) 352-7907 | 205 Hospital Dr Suite A Mc Kenzie TN 38201-1649 Ph: (731) 352-7907 |
NPI Number | 1477747293 |
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Provider Enumeration Date | 09/05/2007 |
Last Update Date | 08/27/2019 |
Identifier | Type | State | Issuer |
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1477747293 | NPI | - | NPPES |
44D0315280 | Other | CLIA | |
3380640 | Medicaid | TN |
Mckenzie Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Mc Kenzie, TN 38201 Phone: 615-465-7645 Fax: 615-465-3017 | |
Bethel Universtiy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Cherry Ave # 335, Mc Kenzie, TN 38201 Phone: 731-352-4000 Fax: 731-352-4238 | |