Organization
MOUNTAIN EAST FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT T KELLER D.O. (PRESIDENT)
(770) 921-6900
Entity
Organization
Contact information
Practice address
4120 FIVE FORKS TRICKUM RD SW, SUITE 105, LILBURN, GA 30047-3130
(770) 921-6900
(770) 921-6313
Mailing address
4120 FIVE FORKS TRICKUM RD SW, SUITE 105, LILBURN, GA 30047-3130
(770) 921-6900
(770) 921-6313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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