Individual
MCKENZIE ANN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 STATION 22 1/2 ST, SULLIVANS ISLAND, SC 29482
(843) 883-3176
Mailing address
1550 ORANGE GROVE RD, CHARLESTON, SC 29407-3956
(404) 545-2616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2936
SC
Other
Enumeration date
05/31/2018
Last updated
07/09/2018
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