Individual
KEITH STEVEN NALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
1 INDEPENDENCE PT, STE. 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18032
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000744378A
—
GA
05
—
180324
—
SC
01
—
20006575
SELECT HEALTH
SC
Enumeration date
05/02/2006
Last updated
12/19/2013
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