Individual
MACKENZIE LASHAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
880 RUTLEDGE PIKE, BLAINE, TN 37709-2317
(865) 933-4110
(865) 933-4729
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
MDX10900
TN
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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