Healthcare Provider Details

I. General information

NPI: 1962520783
Provider Name (Legal Business Name): FAMILY MEDICINE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7046 HIGHWAY 64
OAKLAND TN
38060-3208
US

IV. Provider business mailing address

7046 HIGHWAY 64
OAKLAND TN
38060-3208
US

V. Phone/Fax

Practice location:
  • Phone: 901-465-9902
  • Fax: 901-465-2110
Mailing address:
  • Phone: 901-465-9902
  • Fax: 901-465-2110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. ALICE R MCKEE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 901-465-9902