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1366930141
ELIZABETH RYAN KELLOGG
SUMTER, SC
NPI
1366930141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 21789)
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
ELIZABETH RYAN KELLOGG FNP
1105 N LAFAYETTE DR STE A
SUMTER, SC 29150-2984
Phone number: 803-934-8833
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Mailing Address
ELIZABETH RYAN KELLOGG FNP
2030 HATTERAS WAY
SUMTER, SC 29153-1966
Phone number: 717-880-7262
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