Individual
DR. KELLY CHO HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 GATEWAY CORPORATE BLVD STE 420, COLUMBIA, SC 29203-9785
(803) 365-8650
(803) 365-8659
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7878
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
52928
TN
208600000X
Surgery Physician
Primary
61254
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612545
—
SC
05
—
Q013673
—
TN
Enumeration date
06/03/2010
Last updated
02/22/2019
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