Individual
DR. KEITH H NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2350
(252) 744-6937
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200101254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1294P
BCBS NC
NC
01
—
160054089
RAILROAD MEDICARE
NC
05
—
891294P
—
NC
Enumeration date
09/09/2005
Last updated
02/23/2024
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