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Individual
DR. MARK ROBERT KEATON
Active
Individual
DR. MARK ROBERT KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
028423
GA
207RH0003X
Hematology & Oncology Physician
Primary
51420
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00531649J
—
GA
01
—
221275
BLUE CROSS BLUE SHIELD
GA
01
—
4306466
AETNA
GA
01
—
604802700
UNITED HEALTHCARE
GA
01
—
830008428
RAILROAD MEDICARE
GA
05
—
G28423
—
SC
Enumeration date
12/29/2005
Last updated
01/25/2022
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