Individual
DR. DWIGHT S KEADY, JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 EAST HOSPITAL RD, PHILADELPHIA, MS 39350
(601) 656-6116
(601) 781-2363
Mailing address
213 EAST HOSPITAL ROAD, PHILADELPHIA, MS 39350
(601) 656-6116
(601) 781-2363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10775
MS
207RH0003X
Hematology & Oncology Physician
Primary
131005
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121130
—
MS
01
—
830005996
PALMETTO GBA RAILROAD
MS
01
—
CF9149
RAILROAD GROUP #
MS
Enumeration date
12/29/2005
Last updated
09/14/2016
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