Individual
LEAH KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1267 HIGHWAY 54 W, SUITE 2200, FAYETTEVILLE, GA 30214-2114
(770) 716-0051
(770) 716-0087
Mailing address
1267 HIGHWAY 54 W, SUITE 2200, FAYETTEVILLE, GA 30214-2114
(770) 716-0051
(770) 716-0087
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
106717
GA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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