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Individual

KELLI MARIE GARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 876-1344

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18329
SC
363LP0200X
Pediatric Nurse Practitioner
R107809
MD
363LP0200X
Pediatric Nurse Practitioner
SP009557
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889560100
MD
Enumeration date
09/16/2005
Last updated
12/02/2014
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