Individual
DR. KEITH PATRICK TOMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 GLENLAKE PKWY, DEPT OF RADIOLOGY, ATLANTA, GA 30328-3473
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
002729
GA
2085R0202X
Diagnostic Radiology Physician
Primary
66657
GA
Other
Enumeration date
01/15/2008
Last updated
01/07/2022
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