KELLEY WALLACE JACOBS

DILLON, SC
NPI1952721672
Former NameKELLEY LYNN WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: SC  18972)
Enumeration Date2014-04-21
Last Update Date2014-07-28
Business Address
-- KELLEY WALLACE JACOBS DNP/FNP
705 N 8TH AVE STE 1A
DILLON, SC 29536-2549
Phone number: 843-774-2478
Mailing Address
-- KELLEY WALLACE JACOBS DNP/FNP
705 N 8TH AVE STE 1A
DILLON, SC 29536-2549
Phone number: 843-774-2478
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