Individual
MCKENZIE BROOKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 PERIMETER PARK DR, COOKEVILLE, TN 38501-0922
(931) 528-0002
(931) 528-1515
Mailing address
800 E SPRING ST APT NN2, COOKEVILLE, TN 38501-4508
(931) 239-5239
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000004507
TN
Other
Enumeration date
01/26/2021
Last updated
08/23/2021
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