Individual
MRS. KELLY RUTH WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 AUGUSTA ST, WEST COLUMBIA, SC 29169-7203
(864) 735-2181
Mailing address
715 AUGUSTA ST, WEST COLUMBIA, SC 29169-7203
(864) 735-2181
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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