Individual
GEORGIA LEE KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2191 E JOHNSON AVE, INPATIENT PSYCHIATRY, PENSACOLA, FL 32514-6029
(850) 494-3953
(850) 494-3960
Mailing address
2191 E JOHNSON AVE, INPATIENT PSYCHIATRY, PENSACOLA, FL 32514-6029
(850) 494-3953
(850) 494-3960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME120147
FL
Other
Enumeration date
05/27/2010
Last updated
07/16/2014
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