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Individual

DR. KEISA G. ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4300 PACES FERRY RD SE STE 500, ATLANTA, GA 30339-5714
(470) 750-7573
(470) 750-6722
Mailing address
860 JOHNSON FERRY RD STE 140377, ATLANTA, GA 30342-1435
(470) 750-7573
(470) 750-7573

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
59159
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
688965242D
GA
05
688965242E
GA
05
688965242G
GA
Enumeration date
05/21/2007
Last updated
02/26/2026
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