Individual
JEANETTE N KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1208 SOMERVILLE RD SE, DECATUR, AL 35601-4335
(256) 973-2700
(256) 686-3342
Mailing address
PO BOX 2239, DECATUR, AL 35609-2239
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036098638
IL
207RG0100X
Gastroenterology Physician
Primary
27942
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098638
—
IL
05
—
147364
—
AL
Enumeration date
12/14/2006
Last updated
05/05/2020
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