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Kelli Gregg Maddox
Nurse Practitioner in Columbia, South Carolina
NPI 1013584341

Kelli Gregg Maddox is a Nurse Practitioner based in Charlotte, SC. Kelli Gregg Maddox practices in Columbia, SC. The NPI Number for Kelli Gregg Maddox is 1013584341 and holds a License No. (South Carolina).

The current practice location address for Kelli Gregg Maddox is 1601 Greene St, Columbia, SC and can be reached out via phone at 803-777-7412.

Location: 1601 Greene St, Columbia, SC, 28275-1461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013584341
Provider Name
Kelli Gregg Maddox
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 Greene St, Columbia, SC, 28275-1461
Phone Number
803-777-7412
Fax Number
Provider Enumeration Date
06/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 Greene St
City
Columbia
State
South Carolina
Zip
29208-4001
Phone Number
803-777-7412
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Greene St
City
Columbia
State
South Carolina
Zip
29208-4001
Phone Number
803-777-7412
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
25503 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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