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NPI Code Detail

MEDICARE: DR. KELLY ELIZABETH CORRIGAN MD

MEDICARE: DR. KELLY ELIZABETH CORRIGAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianME146153FL
2207P00000XEmergency Medicine Physician92426SC

General Provider Information

NPI Number : 1568928273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELLY ELIZABETH CORRIGAN MD
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-695-6697
Fax Number :
Provider Business Practice Location Address
First Line : 14 RICHLAND MEDICAL PARK DR STE 350
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6896
Country : US
Telephone Number : 803-434-1663
Fax Number : 803-434-7092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2019
Last Update Date : 02/12/2026

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