Organization
MCKENZIE CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR)
(615) 465-7626
Entity
Organization
Contact information
Practice address
201 HOSPITAL DR, MC KENZIE, TN 38201-1649
(615) 465-7645
(615) 465-3017
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3377734
—
TN
Enumeration date
05/27/2005
Last updated
09/25/2008
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