Individual
KEITH RANDALL CARRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
(678) 604-5548
Mailing address
PO BOX 102966, ATLANTA, GA 30368-2966
(800) 919-1190
(706) 737-2272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
046941
GA
207L00000X
Anesthesiology Physician
113119
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000838747K
—
GA
01
—
P00293696
RAILROAD MEDICARE
GA
Enumeration date
03/08/2006
Last updated
06/20/2022
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