Individual
DESTINY RAE NEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 MEETING STREET RD UNIT 541, CHARLESTON, SC 29405-9464
(803) 645-4701
Mailing address
1310 MEETING STREET RD UNIT 541, CHARLESTON, SC 29405-9464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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