Individual
DR. WILLIAM SCOTT KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 N LAFAYETTE DR, SUITE A, SUMTER, SC 29150-2913
(803) 934-8833
(803) 934-0787
Mailing address
PO BOX 1244, SUMTER, SC 29151-1244
(803) 934-8833
(803) 934-0787
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17231
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172315
—
SC
01
—
57-1111938
TAX ID
SC
01
—
G2590566528
MEDICARE ID-TYPE UNSPECIFIED
SC
Enumeration date
05/03/2006
Last updated
11/03/2014
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