Individual
KELLEY BROWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2689 US-1, ELGIN, SC 29045
(803) 438-7698
Mailing address
758 PATE RD, CAMDEN, SC 29020-8382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24307
SC
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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