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NPI Code Detail

MEDICARE: DR. WILLIAM M. MCKENZIE M.D.

MEDICARE: DR. WILLIAM M. MCKENZIE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20166NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
180160290OTHERNCRAILROAD MEDICARE NUMBER
48222OTHERNCPARTNERS MEDICARE CHOICE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
36905007003OTHERNCCIGNA HEALTHCARE NUMBER
556881OTHERNCBCBS NUMBER
64613661OTHERNCAETNA
76607458OTHERNCUNITED HEALTHCARE NUMBER
8291930OTHERNCMAMSI NUMBER
972973OTHERNCMEDCOST NUMBER

General Provider Information

NPI Number : 1659346625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM M. MCKENZIE M.D.
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-878-2260
Fax Number : 336-878-2277
Provider Business Practice Location Address
First Line : 501 HICKORY BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27409-9601
Country : US
Telephone Number : 336-878-2260
Fax Number : 336-878-2277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 02/14/2013

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