Provider Demographics
NPI:1851505796
Name:MCKECHNIE, MARGARET R (APRN, BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:MCKECHNIE
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:MCKECHNIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, BC
Mailing Address - Street 1:718 TRAFALGAR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-3742
Mailing Address - Country:US
Mailing Address - Phone:803-772-9634
Mailing Address - Fax:
Practice Address - Street 1:1333 TAYLOR ST
Practice Address - Street 2:SUITE 3H
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2923
Practice Address - Country:US
Practice Address - Phone:803-296-3500
Practice Address - Fax:803-296-3965
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC46364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health