Individual
MACKENZIE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 GOODYS LN UNIT 5308, KNOXVILLE, TN 37922-1914
(919) 980-0580
Mailing address
400 GOODYS LN UNIT 5308, KNOXVILLE, TN 37922-1914
(919) 980-0580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1016417
NC
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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