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Individual

COLLIN M MCKENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
146 E HOSPITAL DR STE 530, WEST COLUMBIA, SC 29169-4800
(803) 314-9740
Mailing address
146 E HOSPITAL DR STE 530, WEST COLUMBIA, SC 29169-4800
(803) 314-9740

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
T6966
TX
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MMD.95119
SC

Other

Enumeration date
04/06/2017
Last updated
03/18/2026
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