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Individual

MISS MACKENZIE DENISE WILCOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0005
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6473
TN
363AM0700X
Medical Physician Assistant
6473
TN

Other

Enumeration date
03/17/2025
Last updated
04/14/2025
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