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Individual

DR. KEITH F HAVILAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(774) 276-0055
Mailing address
201 E UNIVERSITY PKWY, DEPT OF EMERGENCY MEDICINE, BALTIMORE, MD 21218-2829

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
69010
GA
207P00000X
Emergency Medicine Physician
Primary
D75751
MD

Other

Enumeration date
04/11/2010
Last updated
08/15/2014
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