Individual
ANTRONETTE LAURA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 PHYSICIANS LN, SOUTHAVEN, MS 38671-6102
(662) 393-7722
(662) 393-7756
Mailing address
75 PHYSICIANS LN, SOUTHAVEN, MS 38671-6102
(662) 393-7722
(662) 393-7756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13312
MS
Other
Enumeration date
07/05/2005
Last updated
04/02/2012
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