Individual
DR. KELLY ANNE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2125 CHARLIE HALL BLVD, SUITE - 2B, CHARLESTON, SC 29414-5879
(843) 852-3151
(843) 573-1537
Mailing address
6320 THE BLARNEY STONE, RAVENEL, SC 29470-5240
(843) 889-1647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215001
—
SC
Enumeration date
02/23/2006
Last updated
07/08/2007
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