Individual provider · Type 1 NPI

Kelli S. Daughtry

Physician Assistant · Georgetown, SC

NPI number 1154977916 Active

Practice location

1014 Huger Dr
Georgetown, SC 29440-3322

Fax (843) 652-8399

Mailing address

PO Box 421718
Georgetown, SC 29442-4203

Other practice locations

  • 2200 Crow Ln Ste 303B, Myrtle Beach, SC 29577-1663 · (843) 520-8780
  • 4040 Highway 17 Unit 104, Murrells Inlet, SC 29576-5098 · (843) 652-8390
  • 5115 Oleander Dr, Wilmington, NC 28403-7018 · (910) 362-1011
  • 4040 Highway 17 Unit 104, Murrells Inlet, SC 29576-5098 · (843) 652-8390
  • 2200 Crow Ln Ste 303B, Myrtle Beach, SC 29577-1663 · (843) 520-8780
  • 1014 Huger Dr, Georgetown, SC 29440-3322 · (843) 520-8780
  • 606 Black River Rd Ste 301, Georgetown, SC 29440-3304 · (843) 652-8390

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X00010-10521 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154977916

Kelli S. Daughtry's National Provider Identifier is 1154977916, issued on Aug 16, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Georgetown, SC. The record was last updated on Nov 13, 2025.