John A Keller in Fayetteville - Family Medicine
John A Keller - NPI 1962462937
John A Keller is a Family Medicine in Fayetteville, Georgia. John A Keller practices all healthcare services and medical treatments related to Family Medicine. 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 |
|---|---|
| Address | 108 North Park Dr, Fayetteville, Georgia |
| Phone Number | 7704613466 |
| Fax Number | 7704613884 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962462937 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2016-03-10 |
Provider Mailing Address Detail
| Address | 108 North Park Dr |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 30214 |
| Phone Number | 7704613466 |
| Fax Number | 7704613884 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20555 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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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 Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
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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