Individual
PATRICIA ANN KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1364 CLIFTON RD NE, SUITE F606, ATLANTA, GA 30322-1059
(404) 712-7667
Mailing address
2380 POTOMAC VIEW CT, GRAYSON, GA 30017-1499
(770) 979-3844
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN181512
GA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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