Search › South Carolina › 363L00000X
Kelli Maddox
NPI 1013584341 · on the registry since 2021
Practice
- Address
- 1601 Greene St
Columbia, SC 29208 - Phone
- (803) 777-7412
- Clinicians at this address
- 144
Additional practice sites
- 171 Ashley Ave, Charleston, SC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 390200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina