Individual
CELISTA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2147 HOFFMEYER RD, SUITE A, FLORENCE, SC 29501-4015
(843) 662-8000
(843) 664-0994
Mailing address
2147 HOFFMEYER RD, SUITE A, FLORENCE, SC 29501-4015
(843) 662-8000
(843) 664-0994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19773
SC
Other
Enumeration date
10/12/2015
Last updated
12/09/2015
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