Mccormick, Keith Lyndon

Mccormick, Keith Lyndon is an individual health care provider with primary practice located at 2047 Valleygate Drive , Fayetteville NC 28304-3688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mccormick, Keith Lyndon can be contacted via phone (910) 485-3937.

Contact Information

Primary practice address
2047 Valleygate Drive Fayetteville NC 28304-3688
Phone: (910) 485-3937
Fax: (910) 221-3672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9501600 North Carolina

Profile Details

NPI number 1912970815
LBN Legal business name Mccormick, Keith Lyndon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 31st, 2024 - about 2 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 1912970815 NPPES
North Carolina MEDICAID 891235W

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