Individual
MS. ANNA FORREST MCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
3600 FOREST DR STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
(803) 779-5823
Mailing address
3600 FOREST DR STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
(803) 779-5823
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1181
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00837311
RAILROAD MEDICARE NUMBER
SC
Enumeration date
09/23/2008
Last updated
05/29/2019
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