Dockery, Keith Myron

Dockery, Keith Myron is an individual health care provider with primary practice located at 2045 Peachtree Rd Ne Ste 500, Atlanta GA 30309-1496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dockery, Keith Myron can be contacted via phone (404) 350-7966.

Contact Information

Primary practice address
2045 Peachtree Rd Ne Ste 500 Atlanta GA 30309-1496
Phone: (404) 350-7966
Fax: (404) 350-7968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 33567 Georgia

Profile Details

NPI number 1659373611
LBN Legal business name Dockery, Keith Myron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jul 8th, 2007 - about 17 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 1659373611 NPPES
Georgia MEDICAID 00443781A

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