Individual
DR. GWENN MARIE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2731 MARTIN LUTHER KING BLVD, TUSCALOOSA, AL 35401-5235
(205) 758-6647
(205) 750-2154
Mailing address
3416 SHAMLEY DR, TUSCALOOSA, AL 35406-2917
(205) 292-6358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.18931
AL
207V00000X
Obstetrics & Gynecology Physician
18931
AL
Other
Enumeration date
01/07/2021
Last updated
01/29/2021
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