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Individual

DR. JOHN COCHRAN MCKEOWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2578 MAIN ST, PALMER, TN 37365-2730
(931) 779-3691
(931) 779-3690
Mailing address
PO BOX 100, PALMER, TN 37365-0100
(931) 779-3691
(931) 779-3690

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD29059
TN
207Q00000X
Family Medicine Physician
Primary
MD29059
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3811917
TN
01
P00386317
RAILROAD MEDICARE
TN
Enumeration date
03/05/2007
Last updated
06/17/2015
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