Individual
DR. JOHN ALVIN KEITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 MCCLURE COURT, FLORENCE, SC 29505-6046
(843) 667-6710
(843) 317-9784
Mailing address
1530 MCCLURE COURT, FLORENCE, SC 29505-0000
(843) 667-6710
(843) 317-9784
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T50575
—
SC
Enumeration date
06/21/2006
Last updated
07/08/2007
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