Individual
ELIZABETH KELLY HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
955 RIBAUT RD, BEAUFORT, SC 29902-5454
(843) 522-5775
(843) 522-5975
Mailing address
955 RIBAUT RD, BEAUFORT, SC 29902-5454
(843) 522-5775
(843) 522-5975
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41065
SC
208000000X
Pediatrics Physician
LL41065
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410656
—
SC
Enumeration date
06/27/2017
Last updated
06/30/2021
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