Individual
DR. BOOKER T KEYES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 MEMORIAL DR, JACKSONVILLE, NC 28546-6332
(910) 355-0900
(910) 355-1940
Mailing address
260 MEMORIAL DR, JACKSONVILLE, NC 28546-6332
(910) 355-0900
(910) 355-1940
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32127
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8948797
—
NC
Enumeration date
10/12/2006
Last updated
11/19/2010
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