Individual
MR. BARTO PAUL KELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RELIANT GERIATRICS, 3523 PELHAM RD, SUITE C, GREENVILLE, SC 29615-4191
(864) 306-0966
(864) 306-2544
Mailing address
RELIANT GERIATRICS, P.O. BOX 14611, GREENVILLE, SC 29610-4611
(864) 306-0966
(864) 306-2544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8851
SC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
8851
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088513
—
SC
05
—
88513
—
SC
Enumeration date
08/31/2006
Last updated
11/21/2023
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