Individual
DR. JOHN EDMOND KEITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 E WOOD ST, SPARTANBURG, SC 29303-3020
(864) 208-8800
(864) 208-0318
Mailing address
303 E WOOD STREET, SPARTANBURG, SC 29303-3020
(864) 208-8800
(864) 208-0318
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12526
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL2654
—
SC
Enumeration date
05/12/2006
Last updated
10/26/2011
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