Individual
DR. MEIKLEJOHN DANE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
115 N PEACHTREE AVE, COOKEVILLE, TN 38501-2546
(931) 783-5777
Mailing address
115 N PEACHTREE AVE, COOKEVILLE, TN 38501-2546
(931) 783-5777
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO.996
AL
Other
Enumeration date
05/23/2007
Last updated
09/24/2015
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