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NPI Code Detail

MEDICARE: DR. JOHN EDMOND KEITH JR. MD

MEDICARE: DR. JOHN EDMOND KEITH JR. MD
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
1207X00000XOrthopaedic Surgery Physician12526SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588615041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN EDMOND KEITH JR. MD
Provider Business Mailing Address
First Line : 303 E WOOD STREET
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3020
Country : US
Telephone Number : 864-208-8800
Fax Number : 864-208-0318
Provider Business Practice Location Address
First Line : 303 E WOOD ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3020
Country : US
Telephone Number : 864-208-8800
Fax Number : 864-208-0318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 10/26/2011

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Directions to “ DR. JOHN EDMOND KEITH JR. MD” Practice Location

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