Individual
MOHAMED MOHAMED KELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Mailing address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
87684
SC
2086S0102X
Surgical Critical Care Physician
5101026254
MI
2086S0102X
Surgical Critical Care Physician
87684
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
04/14/2025
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