Individual
MR. THOMAS EDWARD KEETON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
2ND MRB, CAMP LEJEUNE, NC 28542
(910) 440-6615
Mailing address
2ND MRB, CAMP LEJEUNE, NC 28542
(910) 440-6615
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
NC
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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