# WAYLAND W MCKENZIE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285865329
- **Authorized official:** WAYLAND WILSON MCKENZIE SR. M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (336) 273-8638

## Contact information

- **Practice address:** 500 BANNER AVE STE A, GREENSBORO, NC 27401-3284
- **Practice address phone:** (336) 273-8638
- **Practice address fax:** (336) 274-0146
- **Mailing address:** 500 BANNER AVE STE A, GREENSBORO, NC 27401-3284
- **Mailing address phone:** (336) 273-8638
- **Mailing address fax:** (336) 274-0146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 19760 | NC | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 05/10/2012