Individual
DANIEL CHRISTOPHER KETTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1960 RIVERSIDE PKWY STE 101, LAWRENCEVILLE, GA 30043-5945
(770) 995-0466
(770) 995-0472
Mailing address
1960 RIVERSIDE PKWY STE 101, LAWRENCEVILLE, GA 30043-5945
(770) 995-0466
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
070952
GA
207RI0200X
Infectious Disease Physician
1371043
ID
207RI0200X
Infectious Disease Physician
78074
AZ
Other
Enumeration date
04/15/2008
Last updated
08/14/2025
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