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Randall Scott Keith, M.D.

Family Medicine in Pilot Mountain, NC. Individual provider (NPI-1).

NPI number1477558542
StatusActive
Last updated in NPPESJun 14, 2012

Details

NPI
1477558542
Entity type
Individual (NPI-1)
Name
Randall Scott Keith
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 16, 2005
Last updated
Jun 14, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine39630NCYes

Practice location

104 Ararat Longhill Rd
Pilot Mountain, NC 27041-8113

Phone 336-786-7966 · Fax 336-786-1601

Mailing address

104 Ararat Long Hill Rd
Pilot Mountain, NC 27041-8113

Phone 336-786-7966 · Fax 336-786-1601

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Other Family Medicine Physician providers in Pilot Mountain, NC

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