Individual
DAVID MARTIN KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
322 W SOUTH ST, UNION, SC 29379
(864) 429-8029
(864) 429-3515
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8392
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083929
—
SC
01
—
P01575722
RAILROAD MEDICARE
SC
01
—
SC6866H888
MEDICARE PIN
SC
Enumeration date
07/26/2006
Last updated
05/15/2018
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