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Individual

DR. KEITH HARDEN LINEBERRY I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
901 S AYERSVILLE RD, MAYODAN, NC 27027-0010
(336) 548-2225
(336) 548-3059
Mailing address
PO BOX 10, MAYODAN, NC 27027-0010
(336) 548-2225
(336) 548-3059

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NC2360
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0826U
BLUE CROSS BLUE SHIELD
NC
05
8908264
NC
Enumeration date
08/09/2006
Last updated
12/04/2007
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