Individual
SELINA R. HUNT MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 BLANDING ST STE 102, COLUMBIA, SC 29201-2967
(803) 256-2500
(803) 758-1726
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2135
SC
363L00000X
Nurse Practitioner
2135
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2135
SC
Other
Enumeration date
10/25/2013
Last updated
12/23/2019
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