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Individual

DR. THORNTON STERLING MCKINNEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1919 GADSDEN ST, COLUMBIA, SC 29201-2346
(803) 779-5356
(803) 779-2135
Mailing address
PO BOX 8462, COLUMBIA, SC 29202-8462
(803) 779-5356
(803) 779-2135

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20686
SC
2084P0804X
Child & Adolescent Psychiatry Physician
D0058432
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206869
SC
Enumeration date
12/15/2005
Last updated
12/18/2012
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