Kelli S Daughtry

NPI #1154977916 in Georgetown, South Carolina

Provider Information

NPI Number: 1154977916
Entity Type: Individual
Name: Kelli S Daughtry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 16, 2019
Last Updated: Nov 13, 2025

Practice Location

Address: 1014 HUGER DR
City: Georgetown
State: South Carolina
ZIP Code: 29440-3322
Phone: (843) 520-8780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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