Healthcare Provider Details

I. General information

NPI: 1295974509
Provider Name (Legal Business Name): JOHN BROWNING MCREE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

S CAROLINA DEPT OF CORRECTIONS REDEMPTION WAY
MC CORMICK SC
29899-0001
US

IV. Provider business mailing address

S CAROLINA DEPT OF CORRECTIONS REDEMPTION WAY
MC CORMICK SC
29899-0001
US

V. Phone/Fax

Practice location:
  • Phone: 803-734-0330
  • Fax: 864-443-2121
Mailing address:
  • Phone: 803-734-0330
  • Fax: 864-443-2121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number8863
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: