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Kellie Vernon, LMBT S.C.#4771
NPI 1821363094 · on the registry since 2012
Practice
- Address
- 275 Wildazalea Lane
Marietta, SC 29661 - Phone
- (864) 270-0205
- Fax
- (864) 836-8101
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina