Individual
DAVID SCOTT KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
231 N JUDD PKWY NE, FUQUAY VARINA, NC 27526-2694
(919) 235-6410
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-01482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639517568
—
NC
01
—
19WQS
BCBS OF NC
NC
01
—
NN31410280
MEDICARE
NC
Enumeration date
06/13/2013
Last updated
05/20/2022
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