KEEGAN FERNANDES

SUMTER, SC
NPI1912692013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  LL89933)
Enumeration Date2023-04-06
Last Update Date2023-07-07
Business Address
KEEGAN FERNANDES
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number: 803-774-9755
Mailing Address
KEEGAN FERNANDES
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number:
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