Keaton, Mark Robert

Keaton, Mark Robert is an individual health care provider with primary practice located at 805 Pamplico Hwy Ste 315 , Florence SC 29505-6047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Keaton, Mark Robert can be contacted via phone (843) 674-6460.

Contact Information

Primary practice address
805 Pamplico Hwy Ste 315 Florence SC 29505-6047
Phone: (843) 674-6460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 51420 South Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 028423 Georgia

Profile Details

NPI number 1477530533
LBN Legal business name Keaton, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jan 25th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477530533 NPPES
Georgia MEDICAID 00531649J
Georgia MEDICAID G28423
Georgia Other 221275
Georgia Other 4306466
Georgia Other 830008428
Georgia Other 604802700

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