DR. CHARLES MIDDLETON MCKENZIE JR. MD
NPI 1124008867
Pediatrics in Columbia, SC

Active since January 19, 2006
1409 DEVINE ST, COLUMBIA, SC 29208(803) 777-3175 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Charles Middleton Mckenzie Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES MIDDLETON MCKENZIE JR. MD (NPI 1124008867) is an individual pediatrics provider in Columbia, South Carolina, licensed in South Carolina (SC10824) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1124008867
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CHARLES MIDDLETON MCKENZIE JR.Credential: MD
Location Address1409 DEVINE STColumbia, SC 29208-0001
Mailing Address1409 Devine StColumbia, SC 29208-0001 · (803) 777-3175
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124008867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in SC · SC10824
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1409 DEVINE ST, Columbia, SC 29208

Other Identifiers 1

Medicare UPINC60461SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (College Health)
1409 DEVINE ST
COLUMBIA, SC 29208
Registered Nurse (College Health)
1409 DEVINE ST
COLUMBIA, SC 29208
Registered Nurse (College Health)
1409 DEVINE ST
COLUMBIA, SC 29208
Physical Therapist
1409 DEVINE ST
COLUMBIA, SC 29208
Registered Nurse
1409 DEVINE ST
COLUMBIA, SC 29208
Student in an Organized Health Care Education/Training Program
1409 DEVINE ST, UNIVERSITY OF SOUTH CAROLINA
COLUMBIA, SC 29208
Pediatrics (Sports Medicine)
1409 DEVINE ST
COLUMBIA, SC 29208
Nurse Practitioner (Family)
1409 DEVINE ST
COLUMBIA, SC 29208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124008867, enumerated as an "individual" on January 19, 2006.

The provider is located at 1409 DEVINE ST COLUMBIA, SC 29208 and the phone number is (803) 777-3175.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.