Provider Demographics
NPI:1447323035
Name:MCKENZIE, PATRICIA ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:99 JESSE HILL JR DRIVE SE
Mailing Address - Street 2:ROOM 402 ALDREDGE HEALTH CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-730-1684
Mailing Address - Fax:404-730-1629
Practice Address - Street 1:1854 JONESBORO ROAD
Practice Address - Street 2:LAKE WOOD HEALTH CENTER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315
Practice Address - Country:US
Practice Address - Phone:404-624-0626
Practice Address - Fax:404-624-0636
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN048047163W00000X
GACCE4249163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse