Individual
JOHN W MCKIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 833-9100
(864) 833-9297
Mailing address
1 INDEPENDENCE PT, STE. 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
726
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0796
—
SC
Enumeration date
06/21/2006
Last updated
06/29/2013
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