Individual
TAYLA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 HIGHWAY 411 N, ETOWAH, TN 37331-1906
(423) 604-4664
(423) 604-4665
Mailing address
1001 HIGHWAY 411 N, ETOWAH, TN 37331-1906
(423) 604-4664
(423) 604-4665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5140
TN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/02/2022
Last updated
03/01/2024
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