Individual
GRAHAM KEATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970
(434) 447-3151
Mailing address
213 WAGON DR, BRACEY, VA 23919-2955
(785) 820-7801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101259876
VA
208D00000X
General Practice Physician
Primary
0101259876
VA
Other
Enumeration date
04/05/2006
Last updated
08/20/2018
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