Organization
R. DARR MCKEOWN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R. DARR MCKEOWN MD (PRESIDENT)
(404) 982-9992
Entity
Organization
Contact information
Practice address
3101 CLAIRMONT RD NE, ATLANTA, GA 30329-1044
(404) 982-9992
Mailing address
2384 MONTVIEW DR NW, ATLANTA, GA 30305-4071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
025636
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000486384I
—
GA
Enumeration date
02/04/2011
Last updated
02/04/2011
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