Organization
MCKENZIE MEDICAL CENTER
Active
Parent organization
MCKENZIE MEDICAL CENTER
Other names
MMC SLEEP LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCKENZIE MEDICAL CENTER
Authorized official
MRS. PATRICIA TURNER (PRACTICE MANAGER)
(731) 352-7907
Entity
Organization
Contact information
Practice address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3380640
GROUP MEDICAID
TN
Enumeration date
07/09/2009
Last updated
02/24/2012
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