# PETER P OKELLY MD PA FLOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083899108
- **Authorized official:** DR. PETER P O'KELLY MD (OWNER)
- **Authorized official phone:** (843) 674-2125

## Contact information

- **Practice address:** 805 PAMPLICO HWY STE B125, FLORENCE, SC 29505-6049
- **Practice address phone:** (843) 674-2125
- **Practice address fax:** (843) 674-2128
- **Mailing address:** PO BOX 14107, FLORENCE, SC 29504-4107
- **Mailing address phone:** (843) 674-2125
- **Mailing address fax:** (843) 674-2128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 02/06/2012