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Individual

A KEITH LAY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27 S SIXTH ST, BAY SPRINGS, MS 39422-9052
(604) 764-2143
Mailing address
PO BOX 549, BAY SPRINGS, MS 39422
(601) 764-2143
(601) 764-4890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9629
MS

Other

Enumeration date
08/28/2006
Last updated
12/18/2013
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