Individual
KEITH E JUNIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 S 8TH ST, NASHVILLE, TN 37206-3819
(615) 228-8902
(615) 226-2679
Mailing address
617 S 8TH ST, NASHVILLE, TN 37206-3819
(615) 226-1695
(615) 226-2679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21938
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4038115
—
TN
Enumeration date
07/27/2006
Last updated
01/07/2011
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