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NPI Code Detail

MEDICARE: KEITH F HINNANT

MEDICARE:   KEITH F HINNANT
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
11223G0001XGeneral Practice Dentistry6346NC

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 : 1366533549
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH F HINNANT
Provider Business Mailing Address
First Line : 2603 HOSPITAL RD
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9424
Country : US
Telephone Number : 919-735-2226
Fax Number : 919-735-2960
Provider Business Practice Location Address
First Line : 2603 HOSPITAL RD
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9424
Country : US
Telephone Number : 919-735-2226
Fax Number : 919-735-2960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 10/10/2007

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Directions to “ KEITH F HINNANT ” Practice Location

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