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Individual

DR. KELLY ELIZABETH ORWAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-2300
Mailing address
114 SMITH ST, B, CHARLESTON, SC 29403-6836
(803) 517-8940

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL34803
SC
2085R0001X
Radiation Oncology Physician
LL34803
SC

Other

Enumeration date
06/12/2012
Last updated
07/02/2012
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