Rena L Keeby PAC

NPI 1699841304 - Dermatology - 207N00000X

NPI Details
NPI 1699841304
Gender Female
Enumeration Date 11/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2470 MOUNT ZION PARKWAY
DEPARTMENT OF DERMATOLOGY
JONESBORO GA, 30236, US
Phone (770) 603-3649
Fax
Business Location
3495 PIEDMONT ROAD NE
NINE PIEDMONT CENTER
ATLANTA GA, 30305-9775, US
Phone (404) 364-7000
Fax (404) 364-4732
Toxanomy
Taxonomy Code 207N00000X
License State Georgia
License Number 002657
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According to our database, Rena L Keeby PAC NPI is 1699841304, taxonomy code is 207N00000X and license number is 002657, license state is located at Georgia. Rena L Keeby PAC physically located at 2470 Mount Zion Parkway, Jonesboro GA, 30236. NPI Number Rena L Keeby PAC has the Individual type.

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1699841304 NPI number is provided on an as is basis without warranty of any kind. 1699841304 is maintained by the National Plan & Provider Enumeration System. The contents of Rena L Keeby PAC are for informational purposes only.