Provider Demographics
NPI:1740367705
Name:KEISLER, DAVID S JR (MD - INT MED & GASTR)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:KEISLER
Suffix:JR
Gender:M
Credentials:MD - INT MED & GASTR
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Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29802-0215
Mailing Address - Country:US
Mailing Address - Phone:803-648-7888
Mailing Address - Fax:803-648-3302
Practice Address - Street 1:410 UNIVERSITY PKWY
Practice Address - Street 2:AIKEN INTERNAL MED PA STE 2500
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6810
Practice Address - Country:US
Practice Address - Phone:803-648-7888
Practice Address - Fax:803-648-3302
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-10-08
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Provider Licenses
StateLicense IDTaxonomies
SC7819207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC110048688OtherRAILROAD MEDICARE
SC078196Medicaid
SC078196Medicaid
E677973498Medicare ID - Type Unspecified