Keith Thomas Lonergan in Greenville - Sports Medicine
Keith Thomas Lonergan - NPI 1104962703
Keith Thomas Lonergan is a Sports Medicine in Greenville, South Carolina. Keith Thomas Lonergan practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Keith Thomas Lonergan is 1104962703. The last update date is 2022-11-10.
Keith Thomas Lonergan's current location address is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. You can contact this provider via phone number 8645228603. The mailing address for Keith Thomas Lonergan is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Thomas Lonergan |
|---|---|
| Address | 300 E Mcbee Ave Fl 4, Greenville, South Carolina |
| Phone Number | 8645228603 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104962703 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2022-11-10 |
Provider Mailing Address Detail
| Address | 300 E Mcbee Ave Fl 4 |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296012842 |
| Phone Number | 8645228603 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 30396 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G51248 | SC | -- | |
| P00607534 | SC | RR MEDICARE | |
| 576007863179 | SC | BCBS |
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What is the unique identifier code issued to Keith Thomas Lonergan by the Centers for Medicare & Medicaid Services?
The Keith Thomas Lonergan has been assigned the NPI (National Provider Identifier) 1104962703. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Keith Thomas Lonergan's physical address?
The Keith Thomas Lonergan is physically located at 300 E Mcbee Ave Fl 4, in the city of Greenville, SC, with the postal code 296012842.
What is the Keith Thomas Lonergan's area of specialization and corresponding taxonomy classification?
The Keith Thomas Lonergan's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
On what date did the Keith Thomas Lonergan receive its 1104962703 assignment from the Centers for Medicare & Medicaid Services?
The Keith Thomas Lonergan was assigned its 1104962703 by the Centers for Medicare & Medicaid Services on 2007-01-30.
As of what date were the Keith Thomas Lonergan's details last updated?
The information pertaining to the Keith Thomas Lonergan, including its address, specialty, and other details, was most recently updated on 2022-11-10.
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