Individual
DR. KEEGAN TUPCHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 TOWER RD NE STE 200, MARIETTA, GA 30060-9412
(770) 422-1372
(770) 999-2488
Mailing address
400 TOWER RD NE STE 200, MARIETTA, GA 30060-9412
(770) 422-1372
(770) 999-2488
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
271412
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
88879
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2011
Last updated
09/09/2021
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