Individual
FRAZIER KEITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
80 GILMER STREET, ATLANTA, GA 30303
(404) 616-4473
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 616-4473
(215) 762-2620
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
80924
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003211127A
—
GA
Enumeration date
03/31/2014
Last updated
02/08/2024
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