Individual
MARY WATSON KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1439 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501-3806
(770) 219-2628
Mailing address
PO BOX 1060, OAKWOOD, GA 30566-0018
(770) 219-8730
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
Primary
76603
GA
207Q00000X
Family Medicine Physician
076603
GA
Other
Enumeration date
08/17/2012
Last updated
06/06/2024
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