Individual
W ANDREW KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1451 S MAIN ST, GRAYSVILLE, AL 35073-1725
(205) 674-9406
(205) 674-1759
Mailing address
1451 S MAIN ST, GRAYSVILLE, AL 35073-1725
(205) 674-9406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5143
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000003383
—
AL
Enumeration date
08/16/2006
Last updated
03/12/2010
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