Individual
ASHLEY J KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
380 HOSPITAL DRIVE, SUITE 410, MACON, GA 31217
(478) 746-5644
(478) 745-4849
Mailing address
PO BOX 2564, MACON, GA 31203-2564
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1911178
GA
367500000X
Certified Registered Nurse Anesthetist
TLRN039376
PA
Other
Enumeration date
07/19/2012
Last updated
12/08/2016
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