Kelli Gregg Maddox
Kelli Gregg Maddox is a Student in an Organized Health Care Education/Training Program in Columbia, South Carolina. Works from 2 locations. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Columbia, SCNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 171 Ashley Ave, Charleston, SC 29425-4001 — (843) 792-1414
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 25503 (SC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1013584341 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 7, 2021 |
| Last updated in NPPES | January 13, 2022 |
| Certification date | January 13, 2022 |
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