Individual
KELLI S DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 HUGER DR, GEORGETOWN, SC 29440-3322
(843) 520-8780
(843) 652-8399
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00010-10521
NC
Other
Enumeration date
08/16/2019
Last updated
11/13/2025
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