Individual
MARK DAVID KEESLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3647 J DEWEY GRAY CIR STE 200, AUGUSTA, GA 30909-2205
(706) 504-9712
(706) 504-9703
Mailing address
811 13TH ST STE 20, AUGUSTA, GA 30901-2771
(706) 722-3401
(706) 724-6540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN193399
GA
363LF0000X
Family Nurse Practitioner
APN.17582RX
SC
363LF0000X
Family Nurse Practitioner
RN193399
GA
Other
Enumeration date
07/29/2011
Last updated
03/17/2023
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