| 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 | Clinic/center - Rural Health |
| Location | 1025 W Meeting St, Lancaster, South Carolina |
| Authorized Official Name and Position | Keith D Shealy (OWNER) |
| Authorized Official Contact | 8032857414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 | 1891834420 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891834420 | NPI | - | NPPES |
| RHC127 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
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