MEDICARE: COLLIN M MCKENZIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	MMD.95119	SC
2	207V00000X	Obstetrics & Gynecology Physician	T6966	TX

General Provider Information

NPI Number	:	1598298481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLIN M MCKENZIE MD

Provider Business Mailing Address
First Line	:	146 E HOSPITAL DR STE 530
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4800
Country	:	US
Telephone Number	:	803-314-9740
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 E HOSPITAL DR STE 530
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4800
Country	:	US
Telephone Number	:	803-314-9740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	03/18/2026

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1518847755 — LAUREN FUSELIER
Practice Location Address:

146 E HOSPITAL DR STE 400
WEST COLUMBIA, SC
29169-4800

Practice Phone: 803-936-3300
Practice Fax: 803-936-7735

1952336034 — GAUTHAM GONDI MD
Practice Location Address:

146 E HOSPITAL DR STE 350
WEST COLUMBIA, SC
29169-4800

Practice Phone: 803-314-9640
Practice Fax: 803-314-9641

1083590194 — MRS. BRANDI MONIQUE LOUIS DARBY MSN
Practice Location Address:

146 E HOSPITAL DR STE 140
WEST COLUMBIA, SC
29169-4800

Practice Phone: 803-936-7076
Practice Fax:

1710783402 — SARAH MEGAN MAY
Practice Location Address:

146 E HOSPITAL DR STE 400
WEST COLUMBIA, SC
29169-4800

Practice Phone: 803-936-3300
Practice Fax: 803-936-7735

1306312178 — MS. ALLYSON CROSSLEY PERRY PA-C
Practice Location Address:

146 E HOSPITAL DR STE 410
WEST COLUMBIA, SC
29169-4800

Practice Phone: 803-936-3300
Practice Fax: 803-314-9731

Directions to “ COLLIN M MCKENZIE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.