Individual
EDWARD C. KEITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 E HOSPITAL ST, MANNING, SC 29102-3152
(803) 435-2529
(803) 435-4196
Mailing address
15 E HOSPITAL ST, MANNING, SC 29102-3152
(803) 435-2529
(803) 435-4196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13275
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132751
—
SC
Enumeration date
04/03/2006
Last updated
07/09/2007
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