Mackey Family Practice, Pa

LBN: Mackey Family Practice, Pa
Mackey Family Practice, Pa is an health care organization with primary practice located at 8351 Charlotte Hwy Suite 200, Indian Land SC 29707-6552. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mackey Family Practice, Pa can be contacted via phone (803) 396-5368, or through Shealy, Keith D via phone (803) 285-7414.

Contact Information

Primary practice address
8351 Charlotte Hwy Suite 200 Indian Land SC 29707-6552
Phone: (803) 396-5368
Fax: (803) 396-5350
Website:
Map and Directions
Authorized official contact:
Name: Shealy, Keith D Doctor of Medicine (MD)
Phone: (803) 285-7414

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1700160157
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 Yes
Enumeration date Oct 4th, 2011
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 1700160157 NPPES
South Carolina MEDICAID RHC211

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