Individual
MRS. MCKENNA CASSELLA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 110, COLUMBIA, SC 29203-6859
(803) 434-7940
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5885
SC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/04/2025
Last updated
07/07/2025
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