Individual provider · Type 1 NPI

Kelley S. Womack, PA

Medical Physician Assistant · Lexington, SC

NPI number 1336234863 Active

Practice location

2006 Augusta Hwy
Lexington, SC 29072-2208

Call (803) 785-4747 Map

Fax (803) 785-4750

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0000102753 (NC)
Medical Physician Assistant Primary 363AM0700X1847 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1336234863

Kelley S. Womack, PA's National Provider Identifier is 1336234863, issued on Oct 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lexington, SC. The record was last updated on Nov 11, 2020.