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1306153713
KELLI L WHITE
MYRTLE BEACH, SC
NPI
1306153713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2010-09-07
Last Update Date
2019-03-04
Business Address
KELLI L WHITE PA-C
809 82ND PKWY
MYRTLE BEACH, SC 29572
Phone number: 843-692-1752
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Mailing Address
KELLI L WHITE PA-C
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 438-692-1752
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