Individual
DR. CHRISTOPHER JULIAN KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 PROFESSIONAL DR STE 470, LAWRENCEVILLE, GA 30046-3370
(770) 513-2155
(770) 513-7833
Mailing address
631 PROFESSIONAL DR STE 470, LAWRENCEVILLE, GA 30046-3370
(770) 513-2155
(770) 513-7833
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36085
SC
208600000X
Surgery Physician
Primary
91052
GA
390200000X
Student in an Organized Health Care Education/Training Program
36085
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360854
—
SC
01
—
SCD5146121
MEDICARE PIN
SC
01
—
SCD5147628
MEDICARE PIN
SC
Enumeration date
07/01/2013
Last updated
04/14/2022
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