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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