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Individual

DR. WILLIAM R KEANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14 RICHLAND MEDICAL PARK, 310, COLUMBIA, SC 29203-6877
(803) 252-9907
(803) 252-9906
Mailing address
121 PARK CENTRAL DR, 200, COLUMBIA, SC 29203-6469
(803) 252-9907
(803) 252-9906

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9543
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95435
SC
Enumeration date
02/16/2006
Last updated
11/06/2007
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