Individual
KEITH KILAUEA CARMACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2609 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9428
(919) 734-1779
(919) 734-7570
Mailing address
2609 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9428
(919) 734-1779
(919) 734-7570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30306
NC
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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