Organization
MCKENZIE MEDICAL CENTER PC
Active
Organization
MCKENZIE MEDICAL CENTER PC
Active
Other names
Hometown Health Clinic Bethel Campus
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ETHERRIDGE (CHIEF OPERATING OFFICE)
(731) 352-7907
Entity
Organization
Contact information
Practice address
175 WILDCAT LN, MCKENZIE, TN 38201
(731) 352-7907
Mailing address
205A HOSPITAL DR, MC KENZIE, TN 38201-1649
(731) 352-7907
(833) 690-3848
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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