| Mackey Family Practice, Pa | |
|
1025 W Meeting St Suite 200 Lancaster SC 29720-2204 | |
| (803) 285-7414 | |
| (803) 283-4329 |
| Full Name | Mackey Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1025 W Meeting St, Lancaster, South Carolina |
| Authorized Official Name and Position | Keith D Shealy (OWNER) |
| Authorized Official Contact | 8032857414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackey Family Practice, Pa 1025 W Meeting St Suite 200 Lancaster SC 29720-2204 Ph: (803) 285-7414 | Mackey Family Practice, Pa 1025 W Meeting St Suite 200 Lancaster SC 29720-2204 Ph: (803) 285-7414 |
| NPI Number | 1265426167 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 7911816046 |
|---|---|
| Medicare Enrollment ID | O20040219000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265426167 | NPI | - | NPPES |
| GP0641 | Medicaid | SC |
| Provider Name | Keith D Shealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578557153 PECOS PAC ID: 9739098864 Enrollment ID: I20100204000876 |
| Provider Name | Frank Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801880711 PECOS PAC ID: 5991832933 Enrollment ID: I20100422000331 |
| Provider Name | Steven Morrow Culp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013901925 PECOS PAC ID: 0648189779 Enrollment ID: I20100422000370 |
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