Provider Demographics
NPI:1093524944
Name:KEATING, MARGARET WILKES (MS, LCGC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:WILKES
Last Name:KEATING
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:JEAN
Other - Last Name:WILKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:4993 OHEAR AVE APT 1107
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-4987
Mailing Address - Country:US
Mailing Address - Phone:704-995-0912
Mailing Address - Fax:
Practice Address - Street 1:3520 W MONTAGUE AVE STE 104
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-6083
Practice Address - Country:US
Practice Address - Phone:843-746-1001
Practice Address - Fax:843-735-5097
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC93170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS