Individual
KEITH ERIC BRIGHTBILL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W HOSPITAL DR, WEST COLUMBIA, SC 29169-3405
(803) 796-8515
(803) 796-8516
Mailing address
9735 KINCEY AVE, SUITE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29884
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298840
—
SC
Enumeration date
04/10/2007
Last updated
05/26/2021
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