Organization
RAYMOND E. O'KEEFE, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND E O'KEEFE M.D. (OWNER)
(803) 731-9600
Entity
Organization
Contact information
Practice address
2241 BUSH RIVER RD, COLUMBIA, SC 29210-5626
(803) 731-9600
(803) 731-0297
Mailing address
2241 BUSH RIVER RD, COLUMBIA, SC 29210-5626
(803) 731-9600
(803) 731-0297
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9550
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095505
—
SC
Enumeration date
11/06/2007
Last updated
11/06/2007
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