Mckinley, Mary E
Mckinley, Mary E is an individual health care provider with primary practice located at 360 Hospital Dr Suite 110, Macon GA 31217-3874. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mckinley, Mary E can be contacted via phone (478) 841-2707.Contact Information
Primary practice address
360 Hospital Dr Suite 110
Macon GA 31217-3874
Phone: (478) 841-2707
Fax: (478) 841-2708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 51256 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 051256 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T2435 | Texas |
Profile Details
| NPI number | 1023003993 |
|---|---|
| LBN Legal business name | Mckinley, Mary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Nov 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023003993 | NPPES |
| Georgia | MEDICAID | 000954005A |
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