Individual
DR. HOMER HAYGOOD KEADLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 18TH ST, COLUMBUS, GA 31901-1524
(706) 649-6600
(706) 649-6614
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 649-6600
(706) 649-6614
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
070993
GA
Other
Enumeration date
06/02/2008
Last updated
10/21/2015
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