Individual
KEITH M. PARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SHORTER AVE SW, ROME, GA 30165-3964
(706) 291-0584
(706) 290-0849
Mailing address
701 RUSTIC RIDGE, ROME, GA 30161-8676
(770) 709-3593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00192453G
—
GA
Enumeration date
07/17/2006
Last updated
08/10/2016
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