Individual
MARK M MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6031 SHALLOWFORD RD, SUITE 105, CHATTANOOGA, TN 37421-1983
(423) 468-3923
(423) 468-3927
Mailing address
6031 SHALLOWFORD RD, SUITE 105, CHATTANOOGA, TN 37421-1983
(423) 468-3923
(423) 468-3927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35982
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38720281
—
TN
01
—
4158363
BCBS
TN
01
—
4178417
BCBS
SC
Enumeration date
02/27/2006
Last updated
12/30/2011
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