Maddox, Kelli Gregg

Maddox, Kelli Gregg is an individual health care provider with primary practice located at 1601 Greene St , Columbia SC 29208-4001. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maddox, Kelli Gregg can be contacted via phone (803) 777-7412.

Contact Information

Primary practice address
1601 Greene St Columbia SC 29208-4001
Phone: (803) 777-7412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 25503 South Carolina

Profile Details

NPI number 1013584341
LBN Legal business name Maddox, Kelli Gregg
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Jan 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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