Individual
ALAN ROGER MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3300 4TH AVE, CONWAY, SC 29527-6002
(843) 248-5728
Mailing address
1413 HIGHWAY 17 S # 160, 216 14 TH AVE S, SURFSIDE BEACH, SC 29575-6040
(843) 650-3966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5045
SC
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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