Individual
KEITH JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 STONEWALK DR, RINCON, GA 31326-4527
(912) 996-5862
Mailing address
140 STONEWALK DR, RINCON, GA 31326-4527
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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