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Individual

DR. TAMRA SUZANNE MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6056
(423) 439-7201
(423) 439-7219
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7201
(423) 439-7219

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
120532
DC
208600000X
Surgery Physician
246060
MA
2086X0206X
Surgical Oncology Physician
Primary
50400
TN

Other

Enumeration date
11/05/2007
Last updated
09/11/2013
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