Individual
GEORGETTE KEATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S COLLEGE RD, WILMINGTON, NC 28403-3201
(910) 962-3280
Mailing address
601 S COLLEGE RD, WILMINGTON, NC 28403-3201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007943
NC
Other
Enumeration date
12/26/2013
Last updated
10/07/2015
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