Individual
DR. KEITH S BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7011 EVANS TOWN CENTER BLVD, EVANS, GA 30809-4315
(706) 724-8735
(706) 722-7037
Mailing address
7011 EVANS TOWN CENTER BLVD, EVANS, GA 30809-4315
(706) 724-8735
(706) 722-7037
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7520
GA
Other
Enumeration date
11/21/2005
Last updated
04/22/2008
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