Individual
KELLY MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 ST JULIAN PLACE, COLUMBIA, SC 29204
(803) 748-9994
(803) 748-1103
Mailing address
1600 ST JULIAN PLACE, COLUMBIA, SC 29204
(803) 748-9994
(803) 748-1103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SC21911
SC
207W00000X
Ophthalmology Physician
Primary
21911
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538169800
INDIVIDUAL NPI ENUMERATOR
SC
05
—
T61885 GP3770
—
SC
Enumeration date
07/28/2005
Last updated
03/04/2019
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