Individual
MRS. KELLY LYNN WARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1165 HIGHWAY 1 S, SUITE 300, LUGOFF, SC 29078-8966
(803) 438-0867
(803) 438-4391
Mailing address
103 SOUTH MAIN STREET, BETHUNE, SC 29009
(843) 334-6551
(803) 438-4391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F4476
SC
Other
Enumeration date
07/06/2011
Last updated
07/25/2016
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