Individual
KEITH THOMAS SCHWAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-1382
Mailing address
305 N PEARL ST, NATCHEZ, MS 39120-3242
(601) 597-1033
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17486
MS
207P00000X
Emergency Medicine Physician
MD.202583
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125196
—
MS
Enumeration date
07/06/2006
Last updated
11/11/2022
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