Healthcare Provider Details

I. General information

NPI: 1780511931
Provider Name (Legal Business Name): CLAIRE MCKAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WILLIAM H JOHNSON ST STE 100
FLORENCE SC
29506-2771
US

IV. Provider business mailing address

1307 JACKSON AVE
FLORENCE SC
29501-4520
US

V. Phone/Fax

Practice location:
  • Phone: 843-777-7043
  • Fax:
Mailing address:
  • Phone: 843-992-0575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: