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1245336932
RICHARD K ELLIS
LAKE CITY, SC
NPI
1245336932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 21182)
Enumeration Date
2006-09-16
Last Update Date
2013-12-04
Business Address
Dr. RICHARD K ELLIS M.D.
148 SAULS ST
LAKE CITY, SC 29560-2631
Phone number: 843-374-3621
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Mailing Address
Dr. RICHARD K ELLIS M.D.
PO BOX 118008
CHARLESTON, SC 29423-8008
Phone number: 843-374-3621
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