Individual
KEIA VERENE FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-8010
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95644
GA
390200000X
Student in an Organized Health Care Education/Training Program
262244
NC
Other
Enumeration date
04/27/2020
Last updated
06/16/2023
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