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Organization
MCKENZIE MEDICAL CENTER, PC
Active
Organization
MCKENZIE MEDICAL CENTER, PC
Active
Other names
Hometown Health Clinic Greenfield
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ETHERIDGE (COO)
(731) 352-7907
Entity
Organization
Contact information
Practice address
1731 S MERIDAN STREET, GREENFIELD, TN 38230-1827
(731) 352-7907
(833) 690-3848
Mailing address
205A HOSPITAL DR, MC KENZIE, TN 38201-1649
(731) 352-7907
(833) 690-3848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/11/2025
Last updated
06/12/2026
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