Provider Demographics
NPI:1225359920
Name:MCKENZIE, PATRICK LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:LEE
Last Name:MCKENZIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1240 JESSE JEWELL PKWY SE STE 200
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3861
Mailing Address - Country:US
Mailing Address - Phone:770-532-8438
Mailing Address - Fax:
Practice Address - Street 1:509 N ELAM AVE FL 2
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1157
Practice Address - Country:US
Practice Address - Phone:336-274-1114
Practice Address - Fax:336-274-9638
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA73308208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology