Individual
CHARMAINE MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 TRUE ST STE B5, COLUMBIA, SC 29209-1662
(803) 665-0361
Mailing address
115 VERMILLION DR, COLUMBIA, SC 29209-3342
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
89821
SC
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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