Individual
CHAUNCEY K KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
417 W 4TH AVE, ALBANY, GA 31701-1915
(229) 312-8990
Mailing address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN277878
GA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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