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MR. KEITH JAMES GALLAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28302
(910) 223-1339
Mailing address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28302

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
38945
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3437E
BCBS
05
893437E
NC
Enumeration date
09/11/2006
Last updated
01/31/2019
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