Organization
HOLLY SPRINGS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL S KEITH MD (MEDICAL DOCTOR)
(336) 786-7966
Entity
Organization
Contact information
Practice address
104 ARARAT LONG HILL RD, PILOT MOUNTAIN, NC 27041-8113
(336) 786-7966
(336) 786-1601
Mailing address
104 ARARAT LONG HILL RD, PILOT MOUNTAIN, NC 27041-8113
(336) 786-7966
(336) 786-1601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8948063
—
NC
Enumeration date
08/17/2006
Last updated
06/21/2018
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