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Individual

KEYONA N KING-OSIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, PHD

Contact information

Practice address
850 LAWRENCEVILLE SUWANEE RD STE 101, LAWRENCEVILLE, GA 30043-5483
(770) 963-2451
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
560105029
MI
363A00000X
Physician Assistant
Primary
9160
GA

Other

Enumeration date
02/13/2008
Last updated
09/26/2023
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