Individual
DR. KELLY STEPHENSON BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
67 PRESIDENT ST, CHARLESTON, SC 29425-5712
(843) 792-9888
Mailing address
1026 DOMINION DR, HANAHAN, SC 29410-2408
(267) 438-9826
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
757
SC
Other
Enumeration date
10/25/2006
Last updated
07/15/2008
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