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Mckenzie Medical Center

Mckenzie Medical Center is a health care provider in Mckenzie, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 30810 Broad St, Bruceton, TN 38317-2028, US
Practice Location Phone731-586-4800
Practice Location Fax731-325-4459
NPI ?1245401231
Entity TypeOrganization
Enumeration Date ? Mar 18, 2008
Last Update Date ? Mar 29, 2018
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mckenzie Medical Center

SpecialtySpecializationLicenseLicense State
Optometrist ODT1599Tennessee
Family Medicine MD23833Tennessee
Family Medicine APN17382Tennessee
General Practice MD11366Tennessee
PodiatristFoot & Ankle Surgery DPM494Tennessee
Physician Assistant PA1373Tennessee
Nurse PractitionerFamily APN14751Tennessee
Nurse PractitionerFamily APN15684Tennessee

legacy-id-icon Legacy Provider IDs of Mckenzie Medical Center

Provider IdIssuer StateIssuer TypeIssuer
3380640TennesseeOtherMEDICARE GROUP
3380640TennesseeOtherMEDICAID GROUP

official-icon Authorized Official of Mckenzie Medical Center

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Mckenzie Medical Center's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Lisa Kay Page
Authorized Official Title/PositionCREDENTIALING MANAGER
Authorized Official Phone Number731-352-4429