Individual
KEITH FRANKLIN LAMAR POLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8500
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
13298235-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
91964
SC
Other
Enumeration date
03/22/2019
Last updated
05/03/2024
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