Individual
DR. KEITH LYNDON MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2047 VALLEYGATE DRIVE, FAYETTEVILLE, NC 28304-3688
(910) 485-3937
(910) 221-3672
Mailing address
2047 VALLEYGATE DRIVE, FAYETTEVILLE, NC 28304-3688
(910) 485-3937
(910) 221-3672
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
9501600
NC
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
9501600
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891235W
—
NC
Enumeration date
02/10/2006
Last updated
05/31/2024
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