Individual
GEORGINA F. KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4116 CAPITOL ST, DURHAM, NC 27704-2152
(919) 620-4467
Mailing address
4116 CAPITOL ST, HARRIS - SMITH OB GYN, DURHAM, NC 27704-2152
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
101450
NC
363A00000X
Physician Assistant
Primary
101450
NC
Other
Enumeration date
10/25/2006
Last updated
07/31/2008
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