Individual
BRIAN PATRICK MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE A14, GREENVILLE, SC 29615-3544
(864) 454-2224
(864) 454-2765
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
24045
SC
2086X0206X
Surgical Oncology Physician
Primary
24045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00074148
RR MEDICARE
SC
05
—
T81532
—
SC
Enumeration date
05/25/2006
Last updated
12/22/2022
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