Individual
DR. KEITH N HERIST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
700 SUNSET DR, STE 102, ATHENS, GA 30606-2287
(706) 369-0301
Mailing address
700 SUNSET DR, STE 102, ATHENS, GA 30606-2287
(706) 369-0301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018938
GA
Other
Enumeration date
05/23/2005
Last updated
07/08/2007
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