Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HOLLY SPRINGS FAMILY PRACTICE
Active
Organization
HOLLY SPRINGS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL S KEITH MD (MEDICAL DOCTOR)
(336) 786-7966
Entity
Organization
Contact information
Practice address
104 ARARAT LONG HILL RD, PILOT MOUNTAIN, NC 27041-8113
(336) 786-7966
(336) 786-1601
Mailing address
104 ARARAT LONG HILL RD, PILOT MOUNTAIN, NC 27041-8113
(336) 786-7966
(336) 786-1601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8948063
—
NC
Enumeration date
08/17/2006
Last updated
06/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers