Provider Demographics
NPI:1184750895
Name:MKC INC
Entity type:Organization
Organization Name:MKC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:K
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:CST SFA
Authorized Official - Phone:864-585-7538
Mailing Address - Street 1:2741 BLACKSTOCK RD
Mailing Address - Street 2:
Mailing Address - City:ENOREE
Mailing Address - State:SC
Mailing Address - Zip Code:29335-2702
Mailing Address - Country:US
Mailing Address - Phone:864-585-7538
Mailing Address - Fax:864-585-5883
Practice Address - Street 1:2741 BLACKSTOCK RD
Practice Address - Street 2:
Practice Address - City:ENOREE
Practice Address - State:SC
Practice Address - Zip Code:29335-2702
Practice Address - Country:US
Practice Address - Phone:864-585-7538
Practice Address - Fax:864-585-5883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC064514246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty