Organization
DAWSONVILLE FAMILY MEDICINE
Active
Other names
Keating Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J KEATING M.D. (OWNER/PHYSICIAN)
(706) 265-4100
Entity
Organization
Contact information
Practice address
1080 LUMPKIN CAMPGROUND RD S, SUITE 300, DAWSONVILLE, GA 30534-0989
(706) 265-4100
(706) 265-4132
Mailing address
1080 LUMPKIN CAMPGROUND RD S, SUITE 300, DAWSONVILLE, GA 30534-0989
(706) 265-4100
(706) 265-4132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052971
GA
207QA0401X
Addiction Medicine (Family Medicine) Physician
052971
GA
207R00000X
Internal Medicine Physician
058360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00385310A
—
GA
05
—
384386095C
—
GA
Enumeration date
09/07/2007
Last updated
08/16/2023
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