Anderson, Keisa G.

Anderson, Keisa G. is an individual health care provider with primary practice located at 5780 Peachtree Dunwoody Road Suite 295, Atlanta GA 30342-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Keisa G. can be contacted via phone (404) 255-0621.

Contact Information

Primary practice address
5780 Peachtree Dunwoody Road Suite 295 Atlanta GA 30342-1544
Phone: (404) 255-0621
Fax: (404) 252-0822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 59159 Georgia

Profile Details

NPI number 1629286745
LBN Legal business name Anderson, Keisa G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Oct 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629286745 NPPES
Georgia MEDICAID 688965242D
Georgia MEDICAID 688965242E
Georgia MEDICAID 688965242G

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