Individual
MR. KEITH MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1415 HIGHWAY 85 N STE 310-147, FAYETTEVILLE, GA 30214-7738
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
132146
VA
Other
Enumeration date
05/03/2012
Last updated
12/06/2021
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