Organization
KELLAR SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GABRIELLE MONTEVERGINE KELLAR CSFA (OWNER)
(954) 529-6843
Entity
Organization
Contact information
Practice address
14 GLEN WILLOW CT, GREER, SC 29650-2568
(954) 529-6843
Mailing address
14 GLEN WILLOW CT, GREER, SC 29650-2568
(954) 529-6843
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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