Individual
JILLIAN KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 STONEBRIDGE LN, RINGGOLD, GA 30736-4580
(706) 581-5492
Mailing address
645 STONEBRIDGE LN, RINGGOLD, GA 30736-4580
(706) 581-5492
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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