Individual
KELLY LYNN DRIGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 SALTERBECK CT, MT PLEASANT, SC 29466-7117
(843) 761-1765
Mailing address
210 SHORELINE LN, MONCKS CORNER, SC 29461-8073
(843) 761-1765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2505
SC
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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