Individual
DR. KEITH MATTHEW SEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 EXCHANGE ST STE B7, RICHMOND HILL, GA 31324-7646
(912) 756-2273
Mailing address
9390 FORD AVE STE 2, RICHMOND HILL, GA 31324-6418
(912) 599-7075
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000966897A
—
GA
05
—
000966897B
—
GA
01
—
010183
BCBS
GA
01
—
370021486
RR MEDICARE
GA
05
—
G51733
—
SC
Enumeration date
07/14/2005
Last updated
03/19/2024
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