| William Boothe Merrick Wbm | |
|
270 Sixteenth Fairwary Mckenzie TN 38201 | |
| (731) 415-0724 | |
| Not Available |
| Full Name | William Boothe Merrick Wbm |
|---|---|
| Speciality | Clinic/center |
| Location | 270 Sixteenth Fairwary, Mckenzie, Tennessee |
| Authorized Official Name and Position | William Boothe Merrick (OWNER) |
| Authorized Official Contact | 7314150724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Boothe Merrick Wbm 270 Sixteenth Fairwary Mckenzie TN 38201 Ph: () - | William Boothe Merrick Wbm 270 Sixteenth Fairwary Mckenzie TN 38201 Ph: (731) 415-0724 |
| NPI Number | 1417771718 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417771718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mckenzie Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Wildcat Ln, Mckenzie, TN 38201 Phone: 731-352-7907 |