Organization
CARE180
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EKEISTA KEATON N.P. (N.P. /OWNER)
(662) 588-5164
Entity
Organization
Contact information
Practice address
103 FOX CHASE DR, HATTIESBURG, MS 39402-2575
(662) 588-5164
(855) 452-4557
Mailing address
27 AUBURN PL, HATTIESBURG, MS 39402-8377
(662) 588-5164
(855) 452-4557
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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