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Individual

MR. HUNTER MASENGILL KEYS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5446
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN215846
GA
363LF0000X
Family Nurse Practitioner
Primary
RN215846
GA

Other

Enumeration date
03/06/2014
Last updated
01/10/2020
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