Organization
MCKENZIE MEDICAL CENTER, PC
Active
Other names
Hometown Health Clinic Greenfield
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ETHERIDGE (COO)
(731) 352-7907
Entity
Organization
Contact information
Practice address
1731 S MERIDAN STREET, GREENFIELD, TN 38230-1827
(731) 352-7907
(833) 690-3848
Mailing address
205A HOSPITAL DR, MC KENZIE, TN 38201-1649
(731) 352-7907
(833) 690-3848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/11/2025
Last updated
07/28/2025
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