IndividualActive
Kelley Moody, NP-C
NPI 1194358317 · Adult Medicine Physician · Hartsville, SC
Provider details
- NPI number
- 1194358317
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23682 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
750 W Carolina Ave
Hartsville, SC 29550-4412
Phone: (843) 951-9990
Fax: (843) 951-9989
Approximate (ZIP-level) locationGet directions
Mailing address
750 W Carolina Ave
Hartsville, SC 29550-4412
Registry dates
- Enumerated
- 2020-02-17
- Last updated
- 2022-02-08
- Certified
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.