Individual
MRS. KELSEY RIGGS SEPTIMIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1365 BROADCLOTH ST STE 203, FORT MILL, SC 29715-4507
(803) 402-4410
(803) 526-7662
Mailing address
1365 BROADCLOTH ST STE 203, FORT MILL, SC 29715-4507
(919) 649-8699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
305193
NC
207QA0505X
Adult Medicine Physician
Primary
4122
SC
Other
Enumeration date
01/19/2021
Last updated
09/22/2022
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