Individual
KELLY GARDNER RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BRABHAM AVE, JACKSONVILLE, NC 28546-1695
(910) 341-3300
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-0443
(910) 341-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
047988
GA
207Q00000X
Family Medicine Physician
Primary
202004545
NC
207Q00000X
Family Medicine Physician
ME140393
FL
Other
Enumeration date
01/23/2006
Last updated
02/01/2021
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