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NPI Code Detail

MEDICARE: CHELSEY MACKENZIE CNM

MEDICARE: CHELSEY MACKENZIE CNM
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
1367A00000XAdvanced Practice Midwife27557SC

General Provider Information

NPI Number : 1942987953
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY MACKENZIE CNM
Provider Business Mailing Address
First Line : 1300 HOSPITAL DR STE 270
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3244
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 HOSPITAL DR STE 270
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3244
Country : US
Telephone Number : 843-818-1123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2023
Last Update Date : 06/30/2023

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Directions to “ CHELSEY MACKENZIE CNM” Practice Location

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