Individual
MACKENZIE J BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 HILLCREST DR STE C, EASLEY, SC 29640-1207
(864) 855-1644
(864) 855-6101
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8615
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35707
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357072
—
SC
01
—
SCE2513365
MEDICARE PIN
SC
01
—
SCE2517628
MEDICARE PIN
SC
Enumeration date
06/03/2013
Last updated
08/26/2021
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