Individual
KELLEY GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4865
Mailing address
121 WESTGATE DR, GREENWOOD, SC 29646-9231
(813) 573-9998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94613
SC
Other
Enumeration date
12/17/2024
Last updated
07/23/2025
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