Individual
MARY L KEMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 E MEDICAL LN, STE 120, WEST COLUMBIA, SC 29169-4817
(803) 936-7450
Mailing address
PO BOX 896239, CHARLOTTE, NC 28289-6239
(803) 936-7450
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
16287
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162870
—
SC
Enumeration date
01/20/2006
Last updated
07/21/2022
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