Individual
DR. KEITH D. OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 HOWARD FARM DR, CUMMING, GA 30041-6075
(404) 234-1234
Mailing address
2000 HOWARD FARM DR, CUMMING, GA 30041-6075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
029225
GA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
029225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000339061A
—
GA
Enumeration date
10/04/2005
Last updated
02/20/2019
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