Individual
DR. GREGG WALKER MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 ALPINE CIR., COLUMBIA, SC 29223
(803) 788-0900
(803) 788-0637
Mailing address
124 ALPINE CIR., COLUMBIA, SC 29223
(803) 788-0900
(803) 788-0637
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
3175
LA
1223P0300X
Periodontics
DN008953
GA
1223P0300X
Periodontics
Primary
SC2339
SC
Other
Enumeration date
01/28/2006
Last updated
09/05/2007
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