Individual
MS. KERIN A MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
209 ABBEVILLE AVE NW, AIKEN, SC 29801-3923
(803) 306-1433
(803) 632-1209
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1338PA
—
SC
01
—
1484
MEDICAL LICENSE
SC
01
—
AA4884
MEDICARE
SC
Enumeration date
12/21/2009
Last updated
09/08/2023
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