Organization · Type 2 NPI
McKenzie Medical Center PC
Rural Health Clinic/Center · Bruceton, TN
NPI number
1245401231
Active
Practice location
30810 Broad St
Bruceton, TN 38317-2028
Fax (833) 690-3848
Mailing address
205A Hospital Dr
Mc Kenzie, TN 38201-1649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | ODT1599 (TN) |
| Family Medicine Physician | 207Q00000X | MD23833 (TN) |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Rural Health Clinic/Center: Definition to come...
About NPI 1245401231
McKenzie Medical Center PC's National Provider Identifier is 1245401231, issued on Mar 18, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Bruceton, TN. The record was last updated on May 6, 2024.