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Individual

KEISHA MCEWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
550 PEACHTREE ST NE STE 1220, ATLANTA, GA 30308-2237
(404) 230-5622
(404) 230-5623
Mailing address
550 PEACHTREE ST NE STE 1220, ATLANTA, GA 30308-2237
(404) 230-5622
(404) 230-5623

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
67678
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003123344A
GA
Enumeration date
05/14/2008
Last updated
12/26/2019
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