Individual
DR. KEITH MYRON DOCKERY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 PEACHTREE RD NE, STE 500, ATLANTA, GA 30309-1496
(404) 350-7966
(404) 350-7968
Mailing address
2045 PEACHTREE RD NE, STE 500, ATLANTA, GA 30309-1496
(404) 350-7966
(404) 350-7968
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
33567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00443781A
—
GA
Enumeration date
06/02/2005
Last updated
07/08/2007
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