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Individual

DR. REINHARD KETSCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
PO BOX 669, LAWRENCEVILLE, GA 30046-0669
(770) 963-9905

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
029194
GA
207L00000X
Anesthesiology Physician
Primary
29194
GA

Other

Enumeration date
05/31/2006
Last updated
11/18/2022
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