| Doctor Name: | DR. DOUGLAS CHARLES KEITH |
| NPI Number: | 1063444198 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 30184 |
| Business Practice Address: | 220 Us Highway 70 W Garner, NC - 275293943 |
| Business Phone Number: | 9197797890 |
| Business Fax Number: | 9197797896 |
| Mailing Address: | 220 Us Highway 70 W, GARNER |
| State: | NC |
| Postal Code: | 275293943 |
| Phone Number: | 9197797890 |
| Fax Number: | 9197797896 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 30184 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |