Individual
IRENE GATHONI KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
KENNESTONE REGIONAL HOSPITAL, MARIETTA, GA 30060
(770) 793-5000
Mailing address
2543 HOWELL FARMS WAY NW, ACWORTH, GA 30101-6241
(404) 643-8105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN243664
GA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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