| Organization Name: | MCKENZIE MEDICAL CENTER |
| NPI Number: | 1225267479 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA TURNER (PRACTICE MANAGER) |
| Mailing Address: | 205 Hospital Dr Suite A Mc Kenzie |
| State: | TN US |
| Postal Code: | 382011649 |
| Phone Number: | 7313527907 |
| Fax Number: | 7313524459 |
| NPI Enumeration Date: | 07/09/2009 |
| NPI Last Update Date: | 02/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |