Individual
KELLY DELAINE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
970 HOLLY ST, ORANGEBURG, SC 29115-4930
(803) 531-2722
(803) 531-2743
Mailing address
970 HOLLY ST, ORANGEBURG, SC 29115-4930
(803) 531-2722
(803) 531-2743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18113
SC
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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