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Organization

SOUTHEASTERN ORTHOPEDIC SURGICAL PA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL KEIPER PA-C (OWNER)
(615) 830-6823
Entity
Organization

Contact information

Practice address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949
(404) 296-5005
Mailing address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7462
GA

Other

Enumeration date
01/21/2015
Last updated
01/21/2015
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