| Keely Flynn Hudgins, MPH,RD, LD | |
|
2093 Henry Tecklenburg Dr Ste 202e, Charleston, SC 29414-5783 | |
| (843) 958-2590 | |
| (843) 402-1972 |
| Full Name | Keely Flynn Hudgins |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2093 Henry Tecklenburg Dr Ste 202e, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043762743 | NPI | - | NPPES |
| DT1107 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1320 (South Carolina) | Primary |
| Provider Name | University Medical Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Provider Name | Medical University Hospital Authority |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
| Provider Name | Roper Saint Francis Physicians Network |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346752383 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
| Provider Name | Lowcountry Street Grocery |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568081024 PECOS PAC ID: 5395129571 Enrollment ID: O20220907003032 |
| Mailing Address | Practice Location Address |
|---|---|
| Keely Flynn Hudgins, MPH,RD, LD Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Keely Flynn Hudgins, MPH,RD, LD 2093 Henry Tecklenburg Dr Ste 202e, Charleston, SC 29414-5783 Ph: (843) 958-2590 |
Susanne H Hendricks, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Mrs. Amy Bilbo, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 165 Ashley Ave, Msc 905, Charleston, SC 29425 Phone: 843-876-7271 | |
Madison Locke, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Mrs. Debra Petitpain, MS, LD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Courtenay Dr, Msc 290, Ste7100a, Charleston, SC 29425 Phone: 843-876-4867 | |
Mrs. Cecilia Kennedy Mcmillan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 165 Ashley Ave, Suite Eh1108, Charleston, SC 29425 Phone: 843-792-9774 | |
James Peter Klauder, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-9704 |