Individual
DR. DAVID H MCKENZIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2010 BROWNING GATE RD, ESTILL, SC 29918-2428
(803) 625-3384
(803) 625-3579
Mailing address
2010 BROWNING GATE RD, PO BOX 398, ESTILL, SC 29918-2428
(803) 625-3384
(803) 625-3579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1143
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4508790001
PALMETTO GBA #
SC
01
—
CJ7222
RAILROAD MEDICARE #
SC
05
—
D11431
—
SC
05
—
DA9763
—
SC
Enumeration date
08/29/2006
Last updated
07/09/2007
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