Individual
KEITH JOHN RESETAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 351-6393
Mailing address
3265 FERNCLIFF LN, ATLANTA, GA 30324-2569
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
6949
GA
Other
Enumeration date
03/20/2013
Last updated
06/28/2024
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