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1894 Cedar St Mc Kenzie TN 38201-2206 | |
(731) 352-0603 | |
(731) 352-0185 |
Full Name | |
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Speciality | Family Medicine |
Location | 1894 Cedar St, Mc Kenzie, Tennessee |
Authorized Official Name and Position | Daniel D Sumrok (MD) |
Authorized Official Contact | 7313520603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1894 Cedar St Mc Kenzie TN 38201-2206 Ph: (731) 352-0603 | 1894 Cedar St Mc Kenzie TN 38201-2206 Ph: (731) 352-0603 |
NPI Number | 1902966153 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 04/30/2015 |
Identifier | Type | State | Issuer |
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1902966153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD21860 (Tennessee) | Primary |
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 | |