Individual
KELLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1350 CHUCK DAWLEY BLVD, MT PLEASANT, SC 29464-3380
(843) 884-3506
Mailing address
1350 CHUCK DAWLEY BLVD, MT PLEASANT, SC 29464
(843) 884-3506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4936
SC
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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