# MCKENZIE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCKENZIE MEDICAL CENTER, PC
- **Other names:** MMC URGENT CARE CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841696192
- **Legal business name:** MCKENZIE MEDICAL CENTER, PC
- **Authorized official:** LISA KAY PAGE (CREDENTIALING MANAGER)
- **Authorized official phone:** (731) 352-7907

## Contact information

- **Practice address:** 205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
- **Practice address phone:** (731) 352-7907
- **Practice address fax:** (731) 352-4459
- **Mailing address:** 205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
- **Mailing address phone:** (731) 352-7907
- **Mailing address fax:** (731) 352-4459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD23833 | TN | — |
| 207R00000X | Internal Medicine Physician | MD15682 | TN | — |
| 208000000X | Pediatrics Physician | MD46412 | TN | — |
| 208600000X | Surgery Physician | MD45034 | TN | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | PA1262 | TN | — |
| 363LF0000X | Family Nurse Practitioner | APN6244 | TN | — |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 10/24/2018