Keagy, Gregory Stephen
Keagy, Gregory Stephen is an individual health care provider with primary practice located at 2153 Valleygate Dr Suite 101, Fayetteville NC 28304-3681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Keagy, Gregory Stephen can be contacted via phone (910) 672-0350.Contact Information
Primary practice address
2153 Valleygate Dr Suite 101
Fayetteville NC 28304-3681
Phone: (910) 672-0350
Fax: (910) 672-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 34003768 | Ohio |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 2008-00484 | North Carolina |
Profile Details
| NPI number | 1699775825 |
|---|---|
| LBN Legal business name | Keagy, Gregory Stephen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Apr 6th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699775825 | NPPES |
| Ohio | MEDICAID | 2467272 |
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