Individual
SUSAN D KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
200 JEFFERSON ST, WHITEVILLE, NC 28472-3416
(910) 640-2939
(910) 640-3938
Mailing address
1142 SHIPYARD BLVD, WILMINGTON, NC 28412-6439
(910) 350-0067
(910) 350-0065
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFM02267
NC
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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