Mccorquodale, Kristine E.

Mccorquodale, Kristine E. is an individual health care provider with primary practice located at 206 Medical Cir Suite 1B, West Columbia SC 29169-3654. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mccorquodale, Kristine E. can be contacted via phone (803) 796-9200.

Contact Information

Primary practice address
206 Medical Cir Suite 1B West Columbia SC 29169-3654
Phone: (803) 796-9200
Fax: (803) 796-9226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20763 South Carolina

Profile Details

NPI number 1164402376
LBN Legal business name Mccorquodale, Kristine E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164402376 NPPES
South Carolina MEDICAID T49061

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