Organization
JOHN A KELLER, MD, PC
Active
Other names
FAYETTEVILLE FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KELLER M.D. (PRESIDENT)
(770) 461-3466
Entity
Organization
Contact information
Practice address
108 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-3466
Mailing address
108 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-3466
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
020555
GA
Other
Enumeration date
03/13/2007
Last updated
04/20/2016
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