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General NPI Number Information
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NPI Number | 1497603252
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Entity Type | Organization
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Legal Business Name | MACKEY FAMILY PRACTICE, PA
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 8351 CHARLOTTE HWY STE 200
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City | INDIAN LAND
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State | SC
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Zip | 29707-6553
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Country | US
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Telephone | 803-285-7414
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Fax | 803-283-4329
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Provider Business Mailing Address
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Address Line | 8351 CHARLOTTE HWY STE 200
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City | INDIAN LAND
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State | SC
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Zip | 29707-6553
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | KEITH D SHEALY
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Credential |
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Telephone | 803-285-7414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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