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Contact Information

KEITH L MCCORMICK, MD
2047 VALLEYGATE DRIVE
FAYETTEVILLE, NC28304-3688
 Phone: 910-485-3937
 Fax: 910-221-3672
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KEITH L MCCORMICK · (Male)

NPI # 1912970815
Status Active
Credentials MD
Entity Individual
Enumeration date 02/10/2006
Last updated 05/31/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9501600
  • NC Medicaid 891235W
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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