Organization
MACKEY FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH D SHEALY M.D. (OWNER)
(803) 285-7414
Entity
Organization
Contact information
Practice address
1025 W MEETING ST, SUITE 200, LANCASTER, SC 29720-2204
(803) 285-7414
(803) 283-4329
Mailing address
1025 W MEETING ST, SUITE 200, LANCASTER, SC 29720-2204
(803) 285-7414
(803) 283-4329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
2674
SC
363L00000X
Nurse Practitioner
20303
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0641
—
SC
Enumeration date
09/07/2005
Last updated
10/10/2023
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