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General NPI Number Information
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NPI Number | 1851887624
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Entity Type | Individual
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Provider Name | KEEGAN MULLINS MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 316 CALHOUN ST
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City | CHARLESTON
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State | SC
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Zip | 29401-1113
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Country | US
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Telephone | 843-724-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 58 HANOVER ST
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City | CHARLESTON
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State | SC
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Zip | 29403-4824
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Country | US
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Telephone | 513-673-9899
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 89262
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17850
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35982
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 89262
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD-55839
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME150171
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 28236
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License Number State | NV
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 80917
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License Number State | MN
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Taxonomy #9
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 28236
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 17850
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License Number State | SD
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Taxonomy #11
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-55839
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License Number State | IA
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Taxonomy #12
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 80917
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License Number State | MN
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Taxonomy #13
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35982
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License Number State | MS
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Taxonomy #14
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME150171
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License Number State | FL
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