Organization
TIMOTHY W MCKENZIE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE L LANDRUM (OFFICE ADMINISTRATION)
(706) 854-1235
Entity
Organization
Contact information
Practice address
5182 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
(706) 854-1235
Mailing address
5182 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
(706) 854-1235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
028834
GA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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