Organization
FRONT DOOR PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KELLETT MD (OWNER)
(843) 995-6962
Entity
Organization
Contact information
Practice address
1551 21ST AVE N STE 8, MYRTLE BEACH, SC 29577-7495
(843) 995-6962
Mailing address
1551 21ST AVE N STE 8, MYRTLE BEACH, SC 29577-7495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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