Organization
UROLOGY CLINIC OF JACKSONVILLE NC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOOKER T. KEYES JR. M D (UROLOGIST)
(910) 355-0900
Entity
Organization
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
174400000X
Specialist
Primary
32127
NC
Other
Enumeration date
09/26/2006
Last updated
08/12/2010
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