person
Edward Marvin Mckeithan, NP
Family Nurse Practitioner in Bolivia, North Carolina
NPI 1821295668

Edward Marvin Mckeithan is a Family Nurse Practitioner based in Bolivia, NC and is specialized in Family. Edward Marvin Mckeithan practices in Bolivia, NC and has the professional credentials of NP. The NPI Number for Edward Marvin Mckeithan is 1821295668 and holds a License No. 105024 (North Carolina).

The current practice location address for Edward Marvin Mckeithan is 3971 Business 17 E, Bolivia, NC and can be reached out via phone at 910-500-6451 and via fax at 910-500-6458.

Location: 3971 Business 17 E, Bolivia, NC, 28422-8675
person
Provider Profile Details
NPI Number
1821295668
Provider Name
Edward Marvin Mckeithan
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
3971 Business 17 E, Bolivia, NC, 28422-8675
Phone Number
910-500-6451
Fax Number
910-500-6458
Provider Enumeration Date
06/27/2007
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992351910 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
3971 Business 17 E
City
State
Zip
28422-8675
Phone Number
910-500-6451
Fax Number
910-500-6458
person
Provider Business Mailing Address Details
Address
3971 Business 17 E
City
State
Zip
28422-8675
Phone Number
910-500-6451
Fax Number
910-500-6458
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
105024 (North Carolina)
Definition
Definition to come...
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