Individual
THERMUTUS MCKENZIE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 PEACHTREE ST, STE 1615, ATLANTA, GA 30308
(404) 577-8180
(404) 577-4761
Mailing address
75 PIEDMONT AVE, STE 700, ATLANTA, GA 30303-2544
(404) 756-5764
(404) 756-5252
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00162313A
—
GA
Enumeration date
07/21/2005
Last updated
07/08/2007
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