DR. CHARLES MIDDLETON MCKENZIE JR.


Address: 1409 Devine St, Columbia, SC 29208-0001
Phone: 8037773175

DR. CHARLES MIDDLETON MCKENZIE JR. (NPI# 1124008867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124008867
Entity Type Individual
Full Name DR. CHARLES MIDDLETON MCKENZIE JR.
Credential MD
Practice Address 1409 Devine St
Columbia
SC 29208-0001
Practice Telephone 8037773175
Mailing Telephone 8037773175
Enumeration Date 2006-01-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics SC10824 SC Allopathic & Osteopathic Physicians

Other Providers CHARLES MCKENZIE

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1699151837 Charles Phillip Mckenzie Pharmacist 2015 S Irby St, Florence, SC 29505-3419 2015-08-10
1306093984 Charles Mckenzie Dentist 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 2008-08-26

Office Location

Street Address 1409 DEVINE ST
City COLUMBIA
State SC
Zip Code 29208-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982252565 Sabrina Johnson Counselor 1409 Devine St, Columbia, SC 29208-3902 2019-08-28
1831747351 Talisha L Telsee Counselor 1409 Devine St, Columbia, SC 29208-3902 2019-08-28
1811545601 Angela L Harrington Psychologist 1409 Devine St, Columbia, SC 29208-3902 2019-08-27
1679120117 Tiffany Howard Counselor 1409 Devine St, Columbia, SC 29208-3902 2019-08-20
1194372656 Susan Collins Psychologist 1409 Devine St, Columbia, SC 29208-3902 2019-08-20
1437614039 Misty Bell Dix Physical Therapist 1409 Devine St, Columbia, SC 29208-3902 2019-02-07
1689159642 Jordan Celest Cooler Pharmacist 1409 Devine St, Columbia, SC 29208-3902 2018-09-26
1487165205 Margaret Coughlin Specialist/Technologist 1409 Devine St, Columbia, SC 29208-2139 2017-10-19
1679006118 Corey Ingram Social Worker 1409 Devine St, Columbia, SC 29208-3902 2017-04-11
1225417710 Ryan Brad Carsten Nurse Practitioner 1409 Devine St, Columbia, SC 29208-3902 2015-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306409834 Nathan Orth Specialist/Technologist 1304 Heyward St, Columbia, SC 29208 2019-04-19
1710434253 Talley Young Specialist/Technologist 1300 Wheat Street, Columbia, SC 29208 2016-09-01
1720368871 Anwar Merchant Student in an Organized Health Care Education/Training Program 800 Sumter Street, Department of Epidemiology and Biostatistics, Columbia, SC 29208 2011-08-22
1730202805 Cynthia Mcintyre Thompson Registered Nurse 1409 Devine Street, University of Sc Thomason Student Health Center, Columbia, SC 29208 2007-04-06
1841837481 Stephanie Jo Beeler Registered Nurse 1601 Greene St, Columbia, SC 29208 2019-12-02
1003161696 Toni Marie Torres-mcgehee Specialist/Technologist 1300 Wheat St, Blatt Pe Center 218, Columbia, SC 29208 2012-07-19
1841812591 Chasitie Ann Mcintosh Student in an Organized Health Care Education/Training Program 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 2020-05-15
1053933267 Allyson Derrick Student in an Organized Health Care Education/Training Program 1601 Greene Street Columbia, Columbia, SC 29208-0001 2020-05-11
1235764580 Cheedy Jaja Registered Nurse College of Nursing 1601 Greene Street, Columbia, SC 29208-0001 2020-03-06
1518515097 Warrenetta Crawford Mann Psychologist 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 2019-08-28
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972128742 Emily Anne Cloessner Pediatrics Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-06-08
1043833890 Lauren F. Cook Pediatrics Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-05-27
1619598158 Zeel Hiren Patel Pediatrics Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-05-06
1427695824 Naseem Khan Pediatrics 10851 Clarksville Pike, Columbia, MD 21044-1338 2019-12-04
1164089124 Mercy Clinic Illinois, LLC Pediatrics 1019 Valmeyer Rd, Columbia, IL 62236-4123 2019-05-24
1629568480 Heather Kay Lynn Pediatrics Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 2018-05-16
1174013932 Dalton Mark Renick Pediatrics Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2018-05-16
1033630330 Brian Bradley Johnson Pediatrics Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2017-06-28
1316350226 Duncan Lee Norton Pediatrics 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 2014-06-09
1225440910 Michael Mitchell Pediatrics 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 2014-05-29
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Competitor

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City COLUMBIA
Zip Code 29208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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