Individual
SANDRA E KEELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-4912
(706) 544-1377
Mailing address
6035 WARM SPRINGS ROAD, COLUMBUS, GA 31909
(706) 544-4912
(706) 544-1377
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05789
TX
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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