Individual
DR. BERYL LYNETTE BACHUS KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 W HOSPITAL ST, MANNING, SC 29102-2912
(803) 433-4124
(803) 433-4230
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(847) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16299
SC
Other
Enumeration date
05/02/2006
Last updated
07/21/2022
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