Individual
DR. BRODIE EDEN MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
851 LEONARD FULGHUM BLVD, SUITE 101, MT PLEASANT, SC 29464-3787
(843) 971-9750
(843) 971-9351
Mailing address
851 LEONARD FULGHUM DR 101, MOUNT PLEASANT, SC 29464-3793
(843) 971-9350
(843) 971-9351
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
20250
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054413
STATE LICENSE
GA
01
—
20250
STATE LICENSE
SC
05
—
202505
—
SC
Enumeration date
08/13/2006
Last updated
03/07/2023
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