Individual
KEEGAN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4305 PAXTON LN SW APT 809, LILBURN, GA 30047-8401
(678) 599-4051
Mailing address
4305 PAXTON LN SW APT 809, LILBURN, GA 30047-8401
(678) 599-4051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
070606
GA
Other
Enumeration date
07/12/2021
Last updated
09/27/2021
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