# GARY KEOGH, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730372350
- **Authorized official:** DR. GARY JOHN KEOGH M.D. (OWNER)
- **Authorized official phone:** (251) 633-7211

## Contact information

- **Practice address:** 3715 HIGHWAY 280 431 N, PHENIX CITY, AL 36867
- **Practice address phone:** (251) 633-7211
- **Practice address fax:** (251) 410-6079
- **Mailing address:** P.O. BOX 7627, MOBILE, AL 36670-0627
- **Mailing address phone:** (251) 633-7211
- **Mailing address fax:** (251) 410-6079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD24656 | AL | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 10/09/2019