Mackey Family Practice, Pa

LBN: Mackey Family Practice, Pa
Mackey Family Practice, Pa is an health care organization with primary practice located at 1025 W Meeting St Suite 200, Lancaster SC 29720-2204. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mackey Family Practice, Pa can be contacted via phone (803) 285-7414, or through Shealy, Keith D via phone (803) 285-7414.

Contact Information

Primary practice address
1025 W Meeting St Suite 200 Lancaster SC 29720-2204
Phone: (803) 285-7414
Fax: (803) 283-4329
Website:
Map and Directions
Authorized official contact:
Name: Shealy, Keith D Doctor of Medicine (MD)
Phone: (803) 285-7414

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2674 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20303 South Carolina

Profile Details

NPI number 1265426167
LBN Legal business name Mackey Family Practice, Pa
DBA Doing business as
Authorized official Shealy, Keith D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 10th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265426167 NPPES
South Carolina MEDICAID GP0641

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