Whalio Doctors

NPI 1114211372

Rustin Forest Cameron, PAC

Practitioner Physician Assistant Mc Kenzie, TN

Practice location

Address
763 Main St N, Mc Kenzie, TN 38201-1723
Phone
(731) 358-0973

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI
1114211372
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jun 2011
Record last updated
6 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.