Provider Demographics
NPI:1285632455
Name:KEYES, WILLIAM G (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:KEYES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5901B PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE B-420
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:404-252-9751
Mailing Address - Fax:678-990-5763
Practice Address - Street 1:5901B PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE B-420
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5382
Practice Address - Country:US
Practice Address - Phone:404-252-9751
Practice Address - Fax:678-990-5763
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2011-05-24
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Provider Licenses
StateLicense IDTaxonomies
GA0306342080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00377946BMedicaid
GA00377946AMedicaid
GA00377946DMedicaid