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Individual

KEITH HARLAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4575 NORTH SHALLOWFORD ROAD, DUNWOODY, GA 30338
(770) 454-4286
(770) 454-4065
Mailing address
PO BOX 70128, MARIETTA, GA 30007-0128
(770) 578-1800
(770) 578-6168

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
049235
GA

Other

Enumeration date
05/24/2006
Last updated
07/08/2007
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