Healthcare Provider Details

I. General information

NPI: 1003878455
Provider Name (Legal Business Name): EDWARD C. KEITH JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SC HOUSE CALLS, INC 111 DOCTORS CIR
COLUMBIA SC
29203
US

IV. Provider business mailing address

SC HOUSE CALLS, INC 111 DOCTORS CIR
COLUMBIA SC
29203
US

V. Phone/Fax

Practice location:
  • Phone: 800-491-0909
  • Fax: 803-435-4196
Mailing address:
  • Phone: 800-491-0909
  • Fax: 803-435-4196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13275
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: