TIMOTHY W MCKENZIE MD PC
Marriage and Family Therapists at Wrightsboro Rd, Grovetown, GA

License number
Georgia 028834
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. VALERIE L LANDRUM
Title: OFFICE ADMINISTRATION
Phone: (706) 854-1235
Address
Address
5182 Wrightsboro Rd, Grovetown, GA 30813
National Provider ID: 1336326610
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TIMOTHY W. MCKENZIE, M.D., PC

5182 Wrightsboro Rd, Grovetown, GA 30813

Status:
Inactive
Registration:
Apr 21, 2003
Inactive since:
Aug 21, 2011
State ID:
0323461
Business type:
Domestic Professional Corporation
CFOs:
W Timothy (Secretary), Georgia (Physical),W Timothy Mckenzie (CEO), 5182 Wrightsboro Rd, Grovetown, GA 30813 (Physical),Wayne Timothy Mckenzie (CFO), 5182 Wrightsboro Rd, Grovetown, GA 30813 (Physical)
Agent:
Timothy W. Mckenzie,5182 Wrightsboro Rd, Grovetown, GA 30813 (Physical)

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