Individual
BERKLEY KEITH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PROFESSIONAL PL STE 107, CARROLLTON, GA 30117-3827
(770) 291-8987
Mailing address
1900 THE EXCHANGE SE STE 600, ATLANTA, GA 30339-2050
(770) 291-8987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP288832
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
04/06/2026
Last updated
04/22/2026
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