Organization
LIFE STRATEGIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THORNTON S MCKINNEY JR. MD (MD)
(803) 790-2700
Entity
Organization
Contact information
Practice address
2855 PRUITT DR, COLUMBIA, SC 29204-3645
(803) 790-2700
Mailing address
2855 PRUITT DR, COLUMBIA, SC 29204-3645
(803) 790-2700
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20686
SC
2084P0804X
Child & Adolescent Psychiatry Physician
D0058432
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871579573
NPI
SC
05
—
206869
—
SC
Enumeration date
02/01/2012
Last updated
02/17/2012
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