Individual
DR. WILLIAM KEITH FACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 SHERATON BLVD, MACON, GA 31210-1358
(478) 633-8700
(478) 633-8710
Mailing address
240 SHERATON BLVD, MACON, GA 31210-1358
(478) 633-8702
(478) 633-8710
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
040830
GA
Other
Enumeration date
06/27/2005
Last updated
08/24/2020
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