Individual
DR. GREGORY STEPHEN KEAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2153 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3681
(910) 672-0350
(910) 672-0355
Mailing address
2153 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3681
(910) 672-0350
(910) 672-0355
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2008-00484
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
34003768
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2467272
—
OH
Enumeration date
07/29/2005
Last updated
04/06/2017
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