Provider Demographics
NPI:1275590341
Name:RAMSEY, KEITH MAXWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:MAXWELL
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 STANTONSBURG ROAD
Mailing Address - Street 2:DOCTORS PARK 6B VIDANT MEDICAL CENTER
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-847-2330
Mailing Address - Fax:252-847-4082
Practice Address - Street 1:6 DOCTORS PARK
Practice Address - Street 2:ROOM 120
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2801
Practice Address - Country:US
Practice Address - Phone:252-847-2330
Practice Address - Fax:252-847-4082
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21853207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00323799OtherRAILROAD MEDICARE
NC140U3OtherBCBS NC
NC5901982Medicaid
NC5901982Medicaid
NCP00323799OtherRAILROAD MEDICARE