Individual
AMY JOYCE KEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 HOLLY PL, CANTON, GA 30115-8652
(678) 927-0330
Mailing address
122 HOLLY PL, CANTON, GA 30115-8652
(678) 927-0330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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