Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 8863 | SC |
NPI | 1295974509 |
---|---|
Provider Name | Dr. John Browning Mcree |
First Address | Mc Cormick, SC 29899-0001 |
Second Address | Mc Cormick, SC 29899-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2009 |
Last Update Date | 10/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D42490 | (02) | SC |