Moody, Kelley Marie

Moody, Kelley Marie is an sole proprietor health care provider with primary practice located at 750 W Carolina Ave , Hartsville SC 29550-4412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Moody, Kelley Marie can be contacted via phone (843) 951-9990.

Contact Information

Primary practice address
750 W Carolina Ave Hartsville SC 29550-4412
Phone: (843) 951-9990
Fax: (843) 951-9989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 23682 South Carolina

Profile Details

NPI number 1194358317
LBN Legal business name Moody, Kelley Marie
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2020
Last updated Feb 8th, 2022 - about 2 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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