Organization
MCKENZIE ANESTHESIA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY ALLEN MCKENZIE CRNA (PRESIDENT)
(843) 319-3271
Entity
Organization
Contact information
Practice address
258 N RON MCNAIR BLVD, DEPT OF ANES, LAKE CITY, SC 29560-2462
(843) 374-2036
Mailing address
1279 OLANTA HWY, LAKE CITY, SC 29560-5351
(843) 319-3271
(843) 676-0493
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
053354
SC
Other
Enumeration date
04/26/2011
Last updated
11/18/2011
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