Individual
KEITH T ROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4441 ATLANTA RD SE STE 315, SMYRNA, GA 30080-6443
(770) 333-2035
Mailing address
4441 ATLANTA RD SE STE 315, SMYRNA, GA 30080-6443
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
047832
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229753120D
—
GA
Enumeration date
08/05/2006
Last updated
05/14/2020
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