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1154389815
KEITH WOODWARD LACKEY
CHARLESTON, SC
NPI
1154389815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC 15543)
Enumeration Date
2006-05-03
Last Update Date
2021-01-25
Business Address
Dr. KEITH WOODWARD LACKEY MD
615 WESLEY DRIVE SUITE 300
CHARLESTON, SC 29407
Phone number: 843-266-4400
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Mailing Address
Dr. KEITH WOODWARD LACKEY MD
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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