John A Keller is a Specialist in Fayetteville, Georgia. John A Keller practices all healthcare services and medical treatments related to Specialist. The NPI Number for John A Keller is 1962462937. The last update date is 2016-03-10.
John A Keller's current location address is 108 North Park Dr, Fayetteville, Georgia. You can contact this provider via phone number 7704613466 and fax number 7704613884. The mailing address for John A Keller is 108 North Park Dr, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | John A Keller |
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Address | 108 North Park Dr, Fayetteville, Georgia |
Phone Number | 7704613466 |
Fax Number | 7704613884 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1962462937 |
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Provider Enumeration Date | 2006-03-24 |
Last Updated Date | 2016-03-10 |
Provider Mailing Address Detail
Address | 108 North Park Dr |
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City | Fayetteville |
State | Georgia (GA) |
Post Code | 30214 |
Phone Number | 7704613466 |
Fax Number | 7704613884 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 20555 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
52144193 | GA | BCBS OF GA |
Post Comment/ Review Below
What is the John A Keller's 1962462937?
The John A Keller's NPI (National Provider Identifier) Number is 1962462937. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John A Keller is geographically located?
The John A Keller is physically situated at the following location: 108 North Park Dr, Fayetteville, GA, 30214.
What is John A Keller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John A Keller is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962462937 to John A Keller?
The Centers for Medicare & Medicaid Services assigned the 1962462937 to John A Keller on 2006-03-24.
When was the information regarding John A Keller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John A Keller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-03-10.
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