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NPI Code Detail

MEDICARE: MARGARET WILKES KEATING MS, LCGC

MEDICARE: MARGARET WILKES KEATING MS, LCGC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)93SC

General Provider Information

NPI Number : 1093524944
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET WILKES KEATING MS, LCGC
Provider Business Mailing Address
First Line : 4993 OHEAR AVE APT 1107
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-4987
Country : US
Telephone Number : 704-995-0912
Fax Number :
Provider Business Practice Location Address
First Line : 3520 W MONTAGUE AVE STE 104
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29418-6083
Country : US
Telephone Number : 843-746-1001
Fax Number : 843-735-5097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2025
Last Update Date : 01/06/2025

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