Search › South Carolina › 103TS0200X
Mckenzie Mallen
NPI 1417484973 · on the registry since 2017
Practice
- Address
- 1175 Cane Bay Blvd
Summerville, SC 29486 - Phone
- (843) 899-1957
Additional practice sites
- 101 Gearing St, Goose Creek, SC
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina